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Structures In the Head, Neck, and Face ✔Correct Answer-- facial and cranial bones
- cervical vertebrae
- muscles
- esophagus
- trachea
- thyroid
- carotid arteries
- jugular veins
- lymph nodes
History Questions For Head, Face, and Neck ✔Correct Answer-- personal medical history -
especially HTN, DM (diabetes), CAD (coronary artery disease)
- medications taken- Rx and OTC
- Head trauma or skull fracture
- neck pain or decreased ROM to neck
- numbness or tingling in hands or arms
- HA (head aches)- migraine, cluster, tension, trauma
- dizziness or vertigo (disorder to the inner ear causing dizziness)
- problems with coordination (events? disorders)
- facial pain or paralysis
Size of the Head in Relation to the Body ✔Correct Answer-- normocephalic (normal)
- microcephalic (small)
- macrocephalic (big) (hydrocephalic normally) Skin stretched, skinny, blood vessels are easily visible.
Fontanels buldge.
Position of the Head in Relation to the Neck/Body ✔Correct Answer-- midline
Deformities of Head ✔Correct Answer-- hydrocephalic ( CSF fluid in the brain) head grows.
Inspect and Palpate Scalp ✔Correct Answer-- massess
- lesions or scaling
- infestations
Inspect Hair Distribution ✔Correct Answer-- alopecia
- hirsutism (excessive hair growth in women)
Zica Virus ✔Correct Answer-Causes microcephaly
Male Pattern Baldness ✔Correct Answer-- in male pattern baldness, hair recedes in an 'M" shape,
the crown bald patch eventually meeting the top points to form a horseshoe shape.
Facial Symmetry ✔Correct Answer-- stroke ( unilateral facial weakness, acute)
, - Bell's palsy (similar but not permanent. Loss of sensation and movement weakness unilaterally.
Gradual loss. 6 months to a year it resolves)
Proper Placement of the Eyes, Nose, mouth ✔Correct Answer-- down syndrome (facies) (wide
eyes, flat nasal bridge, epicantle fold, lower set ears)
Inspect and Palpate the Skin of the Face and Neck ✔Correct Answer-- assess for tenderness
- TMJ
- Facial bone fracture (TMJ)
Inspection and Palpation of the Head, Neck and Face ✔Correct Answer-- facial symmetry
- proper placement of the eyes, nose, mouth
- inspect and palpate the skin of the face and neck
- inspect for obvious thyroid enlargement
- inspect and palpate to make sure the trachea is midline (no masses, no trauma, etc.)
Lymph Nodes ✔Correct Answer-- are tiny oval clumps of lymphatic tissue, usually in groups along
blood vessels
- enlarged lymph nodes and tenderness providing early signs of inflammation.
Cranial Nerves for the Head, Neck, and Face Continued ✔Correct Answer-- assess ability to speak
clearly (CN 7, 9, 10, and 12) (have conversation)
- assess facial symmetry (CN 7) (smile, talking)
- assess the strength and mobility of the neck (CN 11) (ROM exercises)
- assess facial sensation and strength of clenched jaw (CN 5) (have patient respond to touch to their
face)
- Do the other CN tests during eye, ear, and nose exams.
Expected Findings of the Head, Neck, and Face ✔Correct Answer-- normocephalic, midline, and
upright
- face symmetrical with proper placement of the eyes, nose and mouth.
- symmetry of the neck musculature
- skin pink, dry, intact without lesions
- even, thick hair distribution
- scalp without lesions, masses, or infestations
- trachea midline
- full ROM of the neck
Write-Up for Head, Neck, and Face ✔Correct Answer-- head normocephalic. Scalp without masses,
lesions, or tenderness. Hair thickly distributed, clean and without infestations. Face symmetrical
without masses, tenderness, or lesions. Head upright and midline. Trachea midline. Neck
musculature symmetrical and supple. Full ROM of the neck.
Health Promotion for Head, Neck, and Face ✔Correct Answer-Screening for Thyroid Disease (exam
by provider and lab test)
- hypothyroidism (tired, weight gain, sensation of temperatures, usually cold, hair and nails brittle,
thin)
- hyperthyroidism (weight loss, feeling warm, sweating, hair fine, silky, thin, eyes
bulge(exophthalmus)
- thyroid cancer (tumors on thyroid)