Qui 2 Flashcards
Superficial to the mastoid process
Posterior auricular (mastoid)
In front of the ear
Preauricular
At the base of the skull
Occipital
Midline, behind the tip of mandible
Submental
Halfway between the angle and the tip of the mandible
Submandibular
Under the angle of the mandible
Jugulodigastric
Overlying the mastoid muscle
Superficial cervical
And the posterior triangle along the edge of the trapezius muscle
Posterior cervical
At the sternomastoid muscle
Supraclivicle
Technique for palpating lymph nodes
Gentle circular motion with finger pads
Can salivary glands being palpated?
Normally no
No it’s in the neck muscle should be palpated with (one hand or two hands) with gentle but strong pressure comparing the two side____
2 // Symmetrically
Deep cervical chain you need to ___person’s head toward the side being examined to relax the ____muscle and press your fingers.
Tip
Ipsilateral
___ Node-have person hunch this shoulders and opals forward (this relaxes the skin)
Supraclavicular
Notes that are palatable note the L__, S____, D___(Discrete or matted together), M___, C___, T___
Location, size, shape, delimitation, mobility, consistency, and tenderness
Know where to assess a live node if enlarged it if it is enlarged or tender, check the area where they ___for the ____of the problem.
Drain,
source
Enlarged upper cervical or submandibular often relate to inflammation or a __ in the __ and ___
Neoplasm, head, neck
Acute infection usually last___, nodes are ____enlarged warm tender and firm but (do not move or freely movable)
<14 days,
bilateral,
Freely movable
Chronic inflammation (example in TB the nodes are__)
Clumped
Cancers nodes are harder or soft. Over or under 3 cm. Bilateral or unilateral. Tender nontender. Freely movable or fixed
Hard >3 cm. Unilateral. Non-tender. Fixed
Accept the node enlargement is common with
HIV
A single and large, nontender hard, stay left supraclavicular node Virchow node may indicate neoplasm in the ___ or ___
Thorax or abdomen
Painless, robbery, discrete nodes that gradually appear occur with___ ___
Hodgkins lymphoma
___ ___ Is located just below the temporal artery and interior to the tragus
Temporomandibular
Temporal area of abnormal finding. Artery looks ____, feels ___and tender temporal arteries (c___, limited ROM, or tenderness)
Torturous, hardened, crepitation
___ glands Are in the cheeks over the mandible, interior two and below the ear. They are the largest of the salivary glands but are normally ____palpable
Parotid glands
Glands are beneath the mandible at the jawline
Submandibular
____Glands lie beneath the floor of the mouth
Sublingual
Temporal artery lies superior to the ____muscle; it’s pulsation is palpable (((in front or behind )))the ear
Temporalis
Anterior
When palpating the thyroid gland(((It is easy or difficult)) your fingers go between the trachea and ___muscle. When the person swallows the thyroid will move ((up or down))). But normal adult thyroid (((can or cannot))) usually be palpated
Difficult.
Sternomastoid.
Up.
Cannot
When checking the thyroid, ____lobes usually ((((are or are not))) palpable. With abnormalities enlarged Lobes are easily palpated (((before or after))) swallowing.
Look for D __ E__or a N__ L__
Check for enlargement, consistency, symmetry, and for presence of nodules
Lateral
NOT
Before
Diffuse Enlargement or Nodular Lump
It’s a thyroid is enlarged auscultated for
Bruit
___ Is a soft, pulsatile, whooshing, blowing sound heard best with the ____of the stethoscope.
These occur with accelerated or turbulent bloodflow, indicating ___the thyroid
Bruit
Bell
Hyperplasia
And aortic aneurysm, a tumor, unilateral thyroid enlargement or pneumothorax occurs when the trachea is___ side
Unaffected
An Atelectasis, pleural adhesions, or fibrosis.
Trachea is
Pulled toward the affected side
Tracheal ___ Is rhythmic downward pull that is synchronous with and occurs with___ ___ __
Tug
Aortic arch aneurysm
___ Is enlargement of the lymph nodes (< or > 1 cm) from infection, allergy, or neoplasm
Lymphadenopathy
___ A round, symmetric skull that is appropriately related to body size
Normocephalic
Thyroid gland—multiple nodules usually indicate ___ or a ___rather than neoplasm
Inflammation.
Multinodular goiter
Thyroid-single nodules are mostly____. Although a solitary nodular possesses a greater risk for malignancy then do multiple nodules and possess a greater risk for (((a younger or older))) person
Benign
Young
Cancerous nodules tend to be __and are __ to surrounding structures
Hard
Fixed
____Gland enlargement—Rapid painful inflammation occurs with mumps
Can also occur with blockage of duct, abscess or tumor
Parotid
Stetson duct obstruction (In the ____gland) can occur in aging adults due to dehydration from ___or___
Parotid. Diuretic. Or antichlorgenic
_____ Characteristic feces develop by 3 to 6 months of age: low hairline, hirsute forehead, swollen eyelids, narrow palepbral fissures, widely spaced eyes, depressed nasal bridge, puffy face, that tongue protruding through an open mouth.
Head sizes normal, but the anterior and posterior__are wide open
Congenital hypothyroidism
Fontanels
_____Exhausted face, blue shadows below the eyes due to sluggish venous return, a double or single crease on the lower eyelids (Morgan’s lines), central facial pallor and open breathing.
Open mouth bringing breathing can lead to___of the teeth and malformed jaw
Atopic (allergic) facies.
Malocclusion
___transverse line on the nose is a feature. Formed when the child chronically uses a hand to push the nose up in back to relieve itching into free swollen turbinates, which allows air passage
Allergic salute and crease
A deficiency of dopamine transmitter and degeneration of the basal ganglia in the brain. Causes immobility of features that make a face plant and expressionless, mask like, with elevated eyebrows, staring gaze, oily skin, and drooling_____
Parkinson’s syndrome
Symptoms: nervousness, fatigue, weight loss, muscle cramps, and heat intolerance.
Signs tachycardia, shortness of breath, excessive sweating, find muscle tremor, then silky hair and skin, and infrequent blinking, and a staring appearance ____
Hyperthyroidism
Hyperthyroidism can cause ___disease which is manifested by a __and bulging eyes(___)
Graves. Goiter. Exophthalmos
Lower motor neuron lesion (peripheral) produced by cranial nerve paralysis which is almost always unilateral. Rapid onset due to ___Cannot wrinkle his forehead, raise eyebrows, close eye, whistle, or showed teeth unaffected side_____
herpes simplex virus.
Bell’s palsy
Chronic lymphocytic thyroiditis. Autoimmune system attacks thyroid gland. Inflammation that leads to an underactive thyroid gland. Commonly affects middle-age.
Fatigue, depression, modest weight gain, cold intolerance, excessive sleepiness, dry-course hair, constipation, dry skin, muscle cramps___
Hashimoto’s thyroiditis and hypothyroidism
The external ear is separated From the middle ear by the ___which is translucent, & pearly gray
Tympanic membrane (or eardrum)
Small airfield cavity inside the temporal bone that’s functions are to conduct sound vibration, protects the inner ear and contains the estachian tube Is this external, middle,or inner ear
Middle ear
Equalizes air pressure at each side of the tympanic membrane
Eustachian tube
Contains the bony labyrinth, which holds the sensory organs for equilibrium and hearing
Inner ear
Vertigo can because by what
(Inner ear problem) can be caused by Noise, medication,
When feeling that room is spinning around you
Subjective vertigo
When feeling that you are spinning around room
Objective vertigo
Nontender, hard cream colored nodule on helix or antihelix. It is gout due to uric acid
Tophi
Cone of light is at 7 o’clock position is that on the tympanic membrane of the left or right ear
Left
What should be performed and a client who has difficulty hearing conversation due to background noise or background conversation
Weber
Sensorineural hearing loss occurs when damage is located in
Inner ear
If a person’s eyes are together closed and they’ve feet are apart and they start to lose balance this would indicate what type of disorder
Vestibular
Red, bulging eardrum and distorted with diminished or absent light reflex
Acute otitis Madia
Foul-smelling, sticking, yellow discharge is associated with
Otitis externa or impacted form body
Tenderness behind the ear may occur with
Otitis media
Painful auricle or tragus is associated with
Oh Titus external or postauricular cyst
Inability to hear high frequency sounds may be due to
Presbycusis
Sudden decrease in ability to hear in one ear may be due to
Otitis media
Inability to hear whisper sounds indicates
Presbycuis
The person that has presbycusis gradual sensorinueral hearing loss would have difficulty hearing consonants or vowels
Consonants
Otalgia
Earache
Compares air and bone conduction sound by striking a tuning fork and placing fork on clients mastoid process.
Rinne test
Helps to evaluate conduction of waves sounds through bone to distinguish between conductive hearing (sound waves transmitted by external and middle ear) and sensorinureal hearing (always transmitted through my inner ear)
Weber test
Normal findings vibrations will be heard equally in both ears
Weber test
Will have air conduction sound heard longer than phone conduction (twice as long)
Rinne test
Transmission of sound waves through external and middle ear
Conductive hearing
Involves mechanical dysfunction of the external or middle ear. If the sound amplitude is increased enough, the person can hear
Conductive hearing loss
Hey lost that indicates a pathologic condition of cranial nerve eight. Presbycusis, And age-related gradual degeneration of the nerve, may be the cause
Sensorineural Or Perceptive
Size and shape, position, alignment, skin color. Movement of the Pana, tragus, and mastoid process. The meatus noting size, swelling, redness, discharge wax, lesions, or form bodies. What is this
Objective data external ear
Color and characteristic. Positions of the tympanic membrane which may be flat, blogging, or retracted. Also assess integrity of the membrane what assessment is this
Middle ear
To assess the vestibule or apparatus which evaluates ___which test would be performed
Standing
Romberg
Severe swelling of canal, inflammation, tenderness. (The picture shows canal lumen that is narrowed ton1/4 normal size)
Otitis externa
__infection of the outer ear, with severe painful movement of the pinna and tragus, redness and swelling of pinna and canal, scanty purulent discharge, scaling, itching, fever and enlarged tender regional lymph nodes. Hearing is normal or slightly diminished. More common in hot, humid weather.___ become infected. Prevent by using __ or__
Otitis Externa (Swimmers Ear)
Skinfolds
Alcohol or 2% acetic ear drops after swimming
Aging–__lining ear canal become coarse & stiff. Causes ___to accumulate get drier because of atrophy of the ___gland
Cilia
Cerumen
Apocrine
