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Head/face/ neck
Nursing skills test 3
23
Nursing
Undergraduate 3
10/23/2010

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Cards

Term
Skull
Definition
thi is a rigid bony box that protects the brain and special sense organs, it includes the bones of the cranium and the face.
Term

Cranial bones

 

Definition
frontal, parietal, occipital, and temporal
Term
sutures
Definition
the adjacent cranial bones unite at meshed immovable joints.  these gradually ossify during early childhood
Term
facial bones
Definition

there are 14 of these

 

the cranium is supported by the cervical vertebra: C1 the altas, C2 the axis and down to C7  which is the song spinous process that is palpable when the haead is flexed.

Term
salivary glands
Definition

are accessible to examination on the face.

parotid gland- are iin the cheeks, over the mandible,a dn anterior to and below the ear

submandibular gland- beneath the mandibel at the angle of the jaw

sublingual- lies in the floor of the mouth

Term
major neck muscles
Definition
sternomastoid and the trapezius
Term
anterior triangle
Definition
lies in front, between the steromastoid and the midline of the body, with its base up along the lower border of the mandible and its apex down at the suprasternal notch
Term
posterior triangle
Definition
is behind the sternomastoid muscle, with the trapezius muscle on the other isde and with its base along the clavicle below.
Term
Thyroid gland
Definition
importnant endocrine gland with a rich blood supply. synthesizex and secretes T4 and T3 hormones that stimulate the rate of cellular metabolism
Term
lymph nodes
Definition

perauricular- in front of the ear

posterior auricular- superficial to the mastoid process

occipital- at the base of the skull

submental- midline behind the tip of the mandible

jugulodigastric- under the angle of the mandible

supraclavicular- just above and behind the clavicle at the sternomastoid muscle

Term
lymph nodes
Definition

 these are a major part of the immune system, whose job is to detect and eliminate foreign substances form the body, the vessels allow the flow of clear, watery fluid from the tissue spaces into the circulation.

only eccessible to examination in four areas: head and neck, arms and axillae and inguinal region. grestest supply in head and neck

Term
subjective data
Definition

headache- frequent, severe, onset

head injury

dizziness

neck pain or limitation of motion

lumps or swelling

history of head or neck surgery

do they smoke or drink?

Term
Objective Data
Definition

head- inspect and papate the skull- size and shape, temporal area, normal cephalic

head-inspect the face- facial sturctures, may be some variation with race, note involuntary movement of face like ticks

Term
Neck inspection
Definition

symmetry- head postion is centered in the midline

ROM- note any limitations of movement during active motion, ask the person to touch the chin to the chest, turn the head to the right and left.

lymph notes- using a gentle circular motionof your finger pads, palpate the lymph nodes

Term
acute infection of nodes
Definition
the nodes are bilateral enlarged, warm, tender,a nd firm but freely moveable
Term
chronic inflammation in nodes
Definition
e.g tuberculosis the nodes are clumped
Term
cancerous nodes
Definition
nodes are hard, unilateral, nontender and fixed
Term
nodes with HIV infection
Definition
theses nodes are enlarged firm, nontender and mobile and is common in occipital nodes
Term
hydrocephalus
Definition
obstruction of drainage of cerebrospinal fluid results in excessive accumulation increasing intracranial pressure and enlargement of the head
Term
paget's disease of bone
Definition
a localized bone disease of unknown etiology that softens thicken, and deforms bone. caracterized by bowed long bones, frontal bossing and enlarged skull bones
Term
torticollis (wryneck)
Definition
hematoma in one sternomastoid muscle, limited neck ROM to the opposite side, can feel a firm discrete nontender mass in mid muscle on the involved side.
Term
pilar cyst
Definition
smooth, firm fluctuant swelling on the scalp. tense pressure of the contents causes overlying skin to be shiny and taut
Term
look on page 292 to 297 for all of the abnormal head,face, and neck
Definition
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