Exam 3 (Josh) - Head, Face, Neck Flashcards
The swelling of which gland is common in bulimia patients?
parotid glands
What are the triangles of the neck?
Anterior Triangle: b/t SCM & midline of face
Posterior Triangle: b/t SCM, Trapezius, & Omohyoid Muscle (base)
Which lymph nodes is located behind the ear?
posterior auricular (two of them)
Which lymph node is located on the back of the head?
occipital
Which lymph nodes are located in the posterior triangle of the neck?
posterior cervical (three of them)
Which lymph nodes are located anterior to the ear?
preauricular (two of them)
Which lymph nodes are located deep to the SCM?
deep cervical chain (5 of them)
Which lymph nodes are located beneath the mandible?
submandibular
Which lymph nodes are located beneath the chin?
submental
All of the lymph nodes drain in a downward flow, except which one?
supraclavicular
What is the soft spot on a baby’s head? When should it disappear?
fontanel
anterior fontanel = 18 months
posterior fontanel = 8 weeks
Which condition could prevent a patient from having full ROM in the neck?
meningitis
Which lymph nodes are difficult to palpate, and require patient to lean over?
supraclavicular nodes
Should you push hard or soft when palpating lymph nodes?
softly
let them come to you
Explain Virchow’s Node.
left supraclavicular node enlargment is a likely sign of abdominal cancer
‘seat of the devil’
Normal lymph nodes feel…
movable
discrete (specific fell to them)
nontender
Infected lymph nodes feel…
bilateral enlarged warm tender firm but freely movable
Cancerous lymph nodes feel…
unilateral hard >3 cm nontender matted fixed (not movable)
The anterior part of the thyroid is called the ———-
Isthmus
How do you palpate the thyroid gland?
- stand behind
- push trachea to right
- curl fingers w/ your right hand around SCM
- have them drink water
- thyroid should move
If the thyroid is enlarged, this is an sign of ——
hyperthyroidism
if you place the bell over, you’ll hear a bruit (confirms hyperthyroidism)
If a fontanel is bulging, it means ——–
swelling
sign of trauma, meningitis, bleeding, etc.
If a fontanel is sunken, it means ——–
dehydration
Headache that causes band-like tightness, non-throbbing pain across both sides of the head?
Last 30 minutes to days.
Tension Headache
Headache that is genetically transmitted, usually unilateral, throbbing pain that is often behind the eyes (causes a visual aura).
Migraine
Intermittent headache that is excruciating, unilateral and can be behind the eye, temple, forehead, or cheek.
Burning, continuous piercing pain.
Cluster Headache
How do you determine the pain headache type?
PQRST
What are the signs of a stroke?
FAST
Face drooping
Arm weakness
Speech difficulty
Time to call 911
What is the difference in appearance b/t Bell’s Palsy and Stroke?
Bell’s Palsy patients have NO wrinkling of the forehead
The —— ——– is an important endocrine gland with a rich blood supply that straddles the trachea in the middle of the neck.
It can be palpated.
Thryoid Gland
