Week Three - Head and Neck - Regional Lyphatics.pptx

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.