Head and Neck (Chapter 14) Flashcards
3 salivary glands
parotid
submandibular
sublingual
are salivary glands palpable
no
where is the parotid gland located at
cheek area over mandible
where is submandibular gland located at
below mandible
where is sublingual gland located at
below tongue
floor of mouth
how do you palpate the thyroid gland
displace and palpate
- have patient tilt head and push gland to that same side
what should you tell patient before palpating thyroid gland
I am going to place hands over neck
what is the shape of thyroid gland
butterfly shape
what is goiter
enlargement
where is preaurical node located at
in front of ear
where is posterior auricle located at
behind ear
occipital node located at
behind ear down toward base of skull
submental node located at
tip of chin
submandibular node located at
under mandible, along jaw line
jugulodiagastric node located at
below where earlobe connects to face above angle of mandible
superficial cervical node located at
below where earlobe connects to face above angle of mandible down and back
deep cervical chain node located at
angle of mandible down to clavicle
posterior cervical node located at
right above clavicle up and back
supracervical
right above clavicle from angle of mandible
how do we assess lymphnodes
pads of index fingers in circular motion
normal lymph node findings
freely moveable
soft
nontender
1 cm
infection lymph node findings
enlarged >1cm
warm
bilateral
tender
freely moveable
cancer lymph node
hard
unilateral
nontender
fixed
tension head ache location
both sides, across frontal, temporal, and/or occipital region of head
tension headache severity
mild-moderate
tension headache onset
gradual
30mins to days
tension head ache pain
dull aching pain
migrane is cause by what nerve
vascular and trigeminal
do migraines get an aura
yes
migrane location
common one side
behind eyes, temples, or forehead
migrane type of pain
throbbing, pulsating
migraine onset
rapid onset, peaks 1-2 hrs, last 4-72 hr
migraine severity
moderate to severe
cluster headache location
always one sided, around eye, temple, forehead, cheek
cluster headache onset
peaks in min, 45-90 min
cluster type of pain
intermittent, excruciating, unilateral, with automatic signs
cluster headache duration
1-2/day, 1/2-2 hr for 1-2 months then remission for months/years
aging adult may have
dizziness due to meds
neck pain
what is the term for normal head and skull
normoscephalic
parkinsons is caused by a decrease in _____________ and degeneration in _______________
dopamine, basal ganglia
parkinsons facial expression
flat
cushings is caused by
increased ACTH
how do cushings people look
moon face, red cheeks
bells palsy is lower or upper motor neuron
lower (peripheral)
onset of bells palsy
rapid
bells palsy can be caused by
herpes simplex virus
bells palsy face is half vertical or horizontal
vertical
stroke/brain attack/CVA is upper or lower motor neuron
upper (central)
what is a stroke/brain attack/CVA caused by
blood clot
stroke/brain attack/CVA will have paralysis of
lower facial muscles
how do we diferentiate bells palsy and stroke/brain attack/CVA
stroke/brain attack/CVA are still able to wrinkle forehead and close eyes