Neck Examination

Question 1

General inspection?

Answer 1

1. dyspneoa
2. stridor
3. scars
4. masses
5. cachexia
6. exophthalmos

Question 2

If a midline mass is present in the neck?

Answer 2

1. observe it whilst the patient takes a sip of water
   - thyroid masses and thyroglossal cysts will rise
2. observe it whilst the patient protrudes their tongue
   - a thyroglossal cysts will rise and thyroid masses will not

Question 3

Palpation of lymoh nodes?

Answer 3

1. submandibular and submental
2. tonsillar and parotid
3. pre auricular and post auricular
4. superficial cervical and supraclavicular
5. posterior cervical and occipital

Question 4

Palpation of thyroid gland?

Answer 4

1. feel for symmetrical elevation of the thyroid glad as the patient swallows some water
2. ask patient to protrude their tongue whilst you palpate the midline mass
   - a thyroglossal cyst will ride