Week Three - Head and Neck - Regional Lyphatics PDF

Summary

This document is a presentation on the head and neck, including regional lymphatic systems. It discusses cranial bones, sutures, facial bones, facial muscles, salivary glands, neck muscles, and triangles, thyroid gland, and associated lymphatics. Additional topics include developmental considerations, subjective and objective data points, and abnormal findings.

Full Transcript

Head and Neck, Including Regional Lymphatic System Chapter 14 Head - Structure and Function Cranial bones Sutures Facial bones Facial muscles Salivary glands Copyright © 2019 Elsevier, Inc. Neck - Structure and Function Neck muscles Anterior...

Head and Neck, Including Regional Lymphatic System Chapter 14 Head - Structure and Function Cranial bones Sutures Facial bones Facial muscles Salivary glands Copyright © 2019 Elsevier, Inc. Neck - Structure and Function Neck muscles Anterior and posterior triangles Thyroid gland Copyright © 2019 Elsevier, Inc. Lymphatics - Structure and Function (1 of 2) Preauricular Posterior auricular (mastoid) Occipital Submental Submandibula r Copyright © 2019 Elsevier, Inc. Lymphatics - Structure and Function (2 of 2) Tonsillar Superficial cervical Deep cervical Posterior cervical Supraclavicul ar Copyright © 2019 Elsevier, Inc. Developmental Considerations (1 of 2) Older adults Sagging facial skin Older adults Presence of senile tremors, concave cervical curve, dizziness on range of motion (ROM) Copyright © 2019 Elsevier, Inc. Subjective Data: Health History Headache Head injury Dizziness Neck pain or limitation of motion Lumps or swelling History of head or neck surgery Older adults Dizziness Neck pain Copyright © 2019 Elsevier, Inc. Objective Data: Physical Exam Head—Inspect and palpate the skull Size and shape (normocephalic) Temporal area Temporal artery Temporomandibular joint Head—Inspect the face Facial structures Copyright © 2019 Elsevier, Inc. Objective Data: Physical Exam Neck (1 of 2) Inspect and Palpate Symmetry Range of motion Lymph nodes If palpable, note: location, size, shape, delimitation, mobility, consistency, and tenderness Copyright © 2019 Elsevier, Inc. Objective Data: Physical Exam Neck (2 of 2) Trachea Thyroid gland Posterior approach Anterior approach Auscultate for presence of bruit Copyright © 2019 Elsevier, Inc. Abnormal Findings Abnormalities in head size and contour Hydrocephalus Paget’s disease of bone (osteitis deformans) Acromegaly Swelling of the head and neck Torticollis (wryneck) Thyroid: multiple nodules Pilar cyst (wen) Parotid gland enlargement Copyright © 2019 Elsevier, Inc. Abnormal Facial Appearances with Chronic Illnesses Parkinson’s syndrome Cushing’s syndrome Hyperthyroidism Myxedema (hypothyroidism) Bell’s palsy Stroke or cerebrovascular accident Copyright © 2019 Elsevier, Inc.

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