Head and neck

Question 1

Head/face exam - Inspection (6)

Answer 1

Inspect: head position

facial features (shape and symmetry)

tics?

change in shape/unusual features (edema, prominent eyes, hirsutism)

skull (shape, size, symmetry)

scalp (part hair from front to occipital - scales, hair loss, lesions…)

Question 2

Head/face exam - palpation (5)

Answer 2

Palpate:

skull front to back

hair (texture, color, distribution)

temporal arteries

temporomandibular joint (pain, crepitus, locking, popping)

if salivary glands appear asymmetrical palpate

Question 3

Assessment of salivary glands

Answer 3

if appear asymmetrical or enlarged, palpate to determine the discreteness, mobility, texture and tenderness.

With the patient’s mouth open, press on the gland to try to express material through the salivary duct.

Question 4

What is associated with facial spasms upon percussion of the masseter muscle?

Answer 4

hypercalcemia

Question 5

What does a bruit over the eyes and below the occiput indicate?

Answer 5

Vascular anomaly