Head and Face Assessment (final)

What are you assessing when looking at the head?

shape and size (inspection and palpation)

distribution, consistency, and color of hair

observe for symmetry, facial features, expressions, and skin condition

What nerves are involved in this assessment?

Cranial Nerves V (trigeminal) and VII (facial)

What exam is done to asses CN V?

using a sharp and dull object alternating around the face, ask patient what they feel with eyes closed

What test is done to assess CN VII?

Have the client smile, frown, raise eyebrows, puff cheeks, purse lips, tightly close eyes

What do you do to assess the temporomandibular joint?

Ask patient to open and close mouth (palpate for tenderness, swelling, and crepitation)

Why do men slowly lose their hair?

genetics, aging, medication

What is traction alopecia?

hair loss due to pulling of the scalp

What is alopecia totalis?

total hair loss

What is Bell’s Palsy?

one-sided facial paralysis (complete)

What are the clinical manifestations of bell’s palsy?

twitching, weakness, paralysis, drooping of eyelid or corner of mouth, drooling, dry eye, dry mouth, decreased ability to taste, eye tearing, facial distortion

inability to wrinkle forehead

What are the manifestations of Parkinson’s disease?

mask-like facial appearance

shuffling gait

rigid muscles

diminished reflexes

What is the main difference between Bell’s Palsy and a stroke?

Stroke: can move eyebrow(s) and wrinkle forehead, rest of the body is affected

Bell’s Palsy: can’t wrinkle forehead or close eye (only facial paralysis)