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Health Assessment ch 13
head, face, and neck including regional lymphatics
23
Nursing
Graduate
07/14/2013

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Term
normocephalic
Definition
round symmetric skull that is appropriately sized to the body
Term
lymph nodes
Definition
preauricular, posterior auricular, occipital, submental, submandibular, jugulodigastric, superficial cervical, deep cervical chain, posterior cervical, supraclavicular
Term
lymphadenopathy
Definition
enlargement of the lymph nodes (>1 cm) from infection, allergy or neoplasm
Term
lymph node
acute infection
Definition
acute onset, <14 days duration, nodes are bilateral, enlarged, warm, tender, and firm but freely movable
Term
lymph node
chronic inflammation
Definition
nodes are clumped
Term
lymph node
cancerous nodes
Definition
hard, >3 cm, unilateral, nontender, matted, and fixed
Term
tracheal shift
pushed to unaffected side
Definition
aortic aneurysm, tumor, unilateral thyroid lobe enlargement, pneumothorax
Term
tracheal shift
pulled toward affected side
Definition
large atelectasis, pleural adhesions or fibrosis
Term
tracheal shift
tracheal tug
Definition
rhythmic downward pull that is synchronous with systole and occurs with aortic arch aneurysm
Term
bruit
Definition
whooshing, blowing sound
occurs with accelerated or turbulent blood flow
Term
what does a bruit indicate
Definition
hyperplasia of the thyroid
hyperthyroidism
Term
caput succedaneaum
Definition
edematous swelling and ecchymosis of the presenting part of the head caused by birth trauma
gradually resolves during first few days of life
Term
cephalhematoma
Definition
subperiosteal hemorrhage also a result of birth trauma
appears several hours after birth and gradually increases in size
no discoloration, reabsorbed during first few weeks
Term
infant with cephalhematoma is at greater risk for
Definition
jaundice
Term
hydrocephalus
Definition
obstruction of drainage of cerebrospinal fluid results in excessive accumulation, increasing intracranial pressure and enlargement of head - setting sun eyes
Term
acromegaly
Definition
excessive secretion of growth hormone from the pituitary gland after puberty creates an enlarged skull and thickened cranial bones
Term
torticollis
Definition
wryneck
hematoma in one sternomastoid muscle; head tilt to one side, limited neck ROM in other side
requires Tx or permanent limitation of ROM
Term
thyroid
multiple nodules
Definition
usually indicate inflammation or a mulit-nodular goiter rather than a neoplasm - suspect any rapidly enlarging or firm nodule
Term
thyroid
single nodule
Definition
most are benign but singles pose great risk for malignancy and greater risk in young people - suspect any painless rapidly growing nodules
cancerous nodules tend to be hard and are fixed to surrounding structures
Term
fetal alcohol syndrome
Definition
wide range of growth and developmental abnormalities
characteristics: narrow palpebral fissures, epicanthal folds and midfacial hypoplasia - low nasal bridge, flat midface, short nose
Term
down syndrome
Definition
upslanting eyes with inner epicanthal folds, flat nasal bridge, small broad flat nose, protruding think tongue, ear dysplasia, short broad neck with webbing and small hands with single palmar crease
Term
Bell's Palsy
Definition
lower motor neuron lesion - peripheral
herpes simplex virus
complete paralysis of one half of face; cannot wrinkle forehead, raise eyebrow, close eye, whistle or show teeth
Term
stroke
cerebrovascular accident
Definition
upper motor neuron lesion - central
obstruction of a cerebral vessel
paralysis of lower facial muscles (upper half not affected) - still able to wrinkle forehead and close the eyes
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