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