HA exam 2: head, face, neck, and regional lymphatics

Parotid glands and submandibular glands

2 pairs of salivary glands accessible to examination on the face

sublingual glands

3rd pair of gland that lies in the floor of the mouth

anterior to ear

pulsation for temporal artery is palpable where?

thyroid

endocrine gland is found in

detect and eliminate foreign substances from body

lymphatics

more prominent

in the aging adult, facial bones and orbits appear

headache

leading cause of acute pain and lost productivity

Tension type headache

most common type of headache

migraine

2nd most common type of headache

episodic and chronic

headaches can be

behind browbone and/or cheekbones

sinus headache pain is

in and around one eye

cluster headache pain is

like a band squeezing the head

tension headache pain is

pain, nausea and visual changes are typical of classic form

migraine headache

Coarse facial features, exophthalmos, changes in skin color or pigmentation, or abnormal swellings

abnormal facial structures

Head position is centered in midline, and accessory neck muscles should be symmetric; Head should be held erect and still

head and neck symmetry

location, size, shape, delimitation, mobility, consistency, and tenderness

when palpating nodes, note

a gentle circular motion of finger pads

examine lymph nodes using

preauricular, posterior auricular, occipital, submental, submandibular, tonsillar (parotid), superficial cervical, deep cervical, posterior cervical (along the trapezius muscle), and supraclavicular.

order to palpate lymph nodes in

twisted and prominent

temporal arteries in the aging adult may look

mild rhythmic tremor

In some aging adults, a _____ of head may be normal

ROM and position changes slowly

Maintain patient safety by indicating patient perform

potential for dizziness

peforming ROM and position changes slowly minimizes ___ in a patient

Hematoma in one sternomastoid muscle; head tilt to one side and limited neck ROM to opposite side

Congenital torticollis; results in

intrauterine malposition

Congenital torticollis is probably due to

iodine deficiency

Simple diffuse goiter (SDG) is due to

chronic enlargement of the thyroid gland

simple diffuse goiter (SDG) results in

inflammation or multinodular goiter (rather than a neoplasm [tumor]; however, suspect any rapidly enlarging or firm nodule)

Thyroid—multinodular goiter (MNG) (multiple modules) usually indicates

Benign growth that presents as smooth, fluctuant swelling on scalp

Pilar cyst (Wen)

mumps, blockage of duct, abscess, or tumor

Parotid gland enlargement (rapid painful enlargement) seen in response to

goiter, eyelid retraction, and exophthalmos

thyroid disorder: graves disease (appearance)

Puffy edematous face; Periorbital edema, coarse facial features, hair and eyebrows

Thyroid Disorders: Hypothyroidism (appearance)

Elongated head, massive face, overgrowth of nose, lower jaw, heavy eyebrow ridge, coarse facial features

Acromegaly face

Classic "moonlike" face, red cheeks, and hirsutism

Cushing syndrome face

Paralysis on one side of the face as a result of LMN lesion

Bell palsy face

stroke or brain attack

UMN (upper motor neuron) lesion leading to paralysis of lower facial muscles may be caused by

Classic "masklike" appearance, elevated eyebrows, staring gaze, oily skin and drooling due to dopamine deficiency

Parkinson syndrome

Sunken eyes, hollow cheeks, and defeated expression that accompanies chronic wasting diseases

Cachectic appearance

temporal artery and temporomandibular join (TMJ) joint

when palpating the skin, palpate

bruit

if enlarged, auscultate thyroid for ____

blowing, swooshing sound heard through a stethoscope when an artery is partially occluded

bruit