Head and Neck (ACTUAL) Flashcards
H&N
Inspection
- Head position
- Facial features
- Skull & Scalp
- Neck
H&N palpation
Skull & Scalp
- Hair
- Temporal Area
- Salivary gland
- TMJ
Head
Lymph nodes
Head
- Occipital
- Postauricular
- Preauricular nodes
- Parotid and tonsillar nodes
- Submandibular
- Submental nodes
Neck lymph nodes
Neck
- Anterior cervical (anterior to SCM)
- Posterior cervical (anterior to upper trap)
- Deep cervical nodes (deep to SCM)
- Supraclavicular
direclty below the cricoid
Isthmus
- Pain / stiffness in proximal muscles that is worse in morning
- Fever (low grade)
- Weight loss
- Fatigue / Depression
POLYMYALGIA RHEUMATICA
- Head aches
- Temporal complaint
- Jaw claudication
Possible giant cell arteritis (10-20%) associated with PR
Anterior Cervical lymph nodes (Superficial and deep) drain the?
Internal throat,
posterior pharynx, tonsils, thyroid gland
Posterior Cervical lymph nodes drain the
Skin on back of head
Tonsillar lymph nodes drain the
Tonsils and posterior pharynx
sub-Mandibular lymph nodes drain the
Floor of mouth
Sub-Mental lymph nodes drain the
Teeth and Intraoral cavity
Preauricular lymph nodes drain the
Eyes and external ear
Postauricular lymph nodes
scalp
Occipital lymph nodes drains the
Skin back of head
Supra-clavicular lymph nodes drains the
Thoracic cavity and abdomen
- Diffuse Enlargement
- Single Nodule
- Multiple Nodules
- Tenderness (Thyroiditis)
Possible Findings during thyroid exam
- Fatigue
- Cold intolerance
- Weight gain
- Depression/Lethargic
- Hair loss
- Dry, Coarse, Brittle hair/skin/nails
- Goiter possible
- Cold hands, Cold feet
hypothyroidism
Decreased DTR’s, Pulse and B/P
hypothyroidism
- Constipation
- puffiness in periorbital
region - Enophthalmos
- Heavy/frequent menstrual cycles
hypothyroidism
- Heat intolerance
- Weight loss
- Nervousness/irritability/
anxiety - fine hair
- warm, velvety,
smooth ski - Increased appetite
HYPERTHYROID
Increased Pulse, DTR’s and B/P
HYPERTHYROID
Goiter possible, Tremors, and Exophthalmos
hyperthyroid
Eyelid lags behind globe movement (Lid lag)
on downward gaze,
Increase BM, and light menstrual changes
hyperthyroid
- Basal metabolic rate -
- Place thermometer on bed stand.
- On waking place thermometer in axilla
BARNES TEST
Evaluate LYMPHADENOPATHY for
Tenderness, Mobility, Texture, Location
produces more of a negative feedback than T3 on TSH.
Reverse T3 (rT3)
