Neck

Question 1

Neck

Answer 1

(check when hyperextended and on usual position) bilateral symmetry of sternocleidomastoid and trapezius muscles; trachea is midline.

Question 2

Trachea

Answer 2

(use thumbs to check placement) midline

Question 3

Thyroid gland

Answer 3

(chin slightly down, palpate tissue towards sternocleidomastoid on right and left) tissue firm and pliable. (From the back, while swallowing palpate in circular motion towards sternocleidomastoid). (With head hyperextended examine from side view) No inflammation.

Question 4

Carotid artery

Answer 4

bounding wave detected

Question 5

Auscultate carotid and temporal arteries with bell

Answer 5

no bruits

Question 6

Neck range of motion

Answer 6

(extension, hyperextension, lateral and rotation) appropriate range of motion

Question 7

Sternocleidomastoid and trapezius muscle strength and spinal accessory nerve (CN XI)

Answer 7

shrug and turn head with resistance. Symmetric strength

Question 8

Nodes

Answer 8

(palpate occipital, postauricular, preauricular, retropharyngeal, submandibular, submental, anterior and posterior cervical, supraclavicular) nodes not palpable. (Remember to ask patient to take deep breath when palpating supraclavicular)