HEAD/NECK examination

Question 1

steps of examination?

Answer 1

position on chair

inspection - 
head/face
eyes 
nose 
mouth 
ears 
neck 

palpation-
face 
nose 
ears 
neck 

auscultation-
carotid artery bruit
enlarged thyroid ?

Question 2

inspection?

Answer 2

face-
facial symmetry 
hair 
shape 
scars 
swellings 

eyes-
jaundice/anaemia

nose -
side/front and above look
hold one nostril assess air flow

mouth-
lips
cyanosis, lesions

ears -
nodules?
scars behind it
mastoid process bruising?

neck- scars? swellings/lump
swallowing water - see if lump moving

Question 3

palpation?

Answer 3

face
palpate mastoid process
feel maxilla/mandible
on tm joint and ask to open/close jaw

nose
sinuses
nasal cartilage/bones

ears
mastoid process
pinna

mouth
parotid gland - angle of jaw to below the earlobe
submandibular gland - under mandible to under the tongue

neck - back of patient
Z PATTERN

Question 4

AUSCULTATION?

Answer 4

diaphragm OVER carotid arteries for bruits

and ask to hold breath at time