Head and Neck (ACTUAL) Flashcards

1
Q

H&N

Inspection

A
  • Head position
  • Facial features
  • Skull & Scalp
  • Neck
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2
Q

H&N palpation

A

Skull & Scalp

  • Hair
  • Temporal Area
  • Salivary gland
  • TMJ
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3
Q

Head

Lymph nodes

A

Head

  • Occipital
  • Postauricular
  • Preauricular nodes
  • Parotid and tonsillar nodes
  • Submandibular
  • Submental nodes
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4
Q

Neck lymph nodes

A

Neck

  • Anterior cervical (anterior to SCM)
  • Posterior cervical (anterior to upper trap)
  • Deep cervical nodes (deep to SCM)
  • Supraclavicular
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5
Q

direclty below the cricoid

A

Isthmus

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6
Q
  • Pain / stiffness in proximal muscles that is worse in morning
  • Fever (low grade)
  • Weight loss
  • Fatigue / Depression
A

POLYMYALGIA RHEUMATICA

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7
Q
  • Head aches
  • Temporal complaint
  • Jaw claudication
A

Possible giant cell arteritis (10-20%) associated with PR

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8
Q

Anterior Cervical lymph nodes (Superficial and deep) drain the?

A

Internal throat,

posterior pharynx, tonsils, thyroid gland

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9
Q

Posterior Cervical lymph nodes drain the

A

Skin on back of head

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10
Q

Tonsillar lymph nodes drain the

A

Tonsils and posterior pharynx

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11
Q

sub-Mandibular lymph nodes drain the

A

Floor of mouth

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12
Q

Sub-Mental lymph nodes drain the

A

Teeth and Intraoral cavity

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13
Q

Preauricular lymph nodes drain the

A

Eyes and external ear

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14
Q

Postauricular lymph nodes

A

scalp

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15
Q

Occipital lymph nodes drains the

A

Skin back of head

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16
Q

Supra-clavicular lymph nodes drains the

A

Thoracic cavity and abdomen

17
Q
  1. Diffuse Enlargement
  2. Single Nodule
  3. Multiple Nodules
  4. Tenderness (Thyroiditis)
A

Possible Findings during thyroid exam

18
Q
  • Fatigue
  • Cold intolerance
  • Weight gain
  • Depression/Lethargic
  • Hair loss
  • Dry, Coarse, Brittle hair/skin/nails
  • Goiter possible
  • Cold hands, Cold feet
A

hypothyroidism

19
Q

Decreased DTR’s, Pulse and B/P

A

hypothyroidism

20
Q
  • Constipation
  • puffiness in periorbital
    region
  • Enophthalmos
  • Heavy/frequent menstrual cycles
A

hypothyroidism

21
Q
  • Heat intolerance
  • Weight loss
  • Nervousness/irritability/
    anxiety
  • fine hair
  • warm, velvety,
    smooth ski
  • Increased appetite
A

HYPERTHYROID

22
Q

Increased Pulse, DTR’s and B/P

A

HYPERTHYROID

23
Q

Goiter possible, Tremors, and Exophthalmos

A

hyperthyroid

24
Q

Eyelid lags behind globe movement (Lid lag)
on downward gaze,
Increase BM, and light menstrual changes

A

hyperthyroid

25
Q
  • Basal metabolic rate -
  • Place thermometer on bed stand.
  • On waking place thermometer in axilla
A

BARNES TEST

26
Q

Evaluate LYMPHADENOPATHY for

A

Tenderness, Mobility, Texture, Location

27
Q

produces more of a negative feedback than T3 on TSH.

A

Reverse T3 (rT3)