Flashcards
Head and neck flashcards
Cards in this deck (9)
- 1Introduction 1* Who are you?
* What do you do for a living?
* Who are they?
* When's their birthday? - 2Introduction 2* Why are they here? - ?headaches, new lumps or bumps, visual disturbances, trauma to the head, confusion
* History of this, other relevant symptoms - e.g. nausea, confusion, dizziness, pain
* Meds - analgesia, eye drops, triptans, benzos, anti-convulsants
* OTC/herbal/homeopathic - illicit drugs are going to be relevant here
* Allergies - 3Introduction 3* Explain process - inspect your head and scalp, look at your eyes and shine some light in them, check your mouth and throat as well as feeling for any swollen lumps on and around your neck
* Consent
* Gloves on for scalp as weird infestations on the hands aren't ideal! - 4Head/scalp* Does it look like a head should?
* Symmetrical appearance
* Cuts, abrasions, lumps, blood anywhere
* Infestations of the scalp like headlice?
* Scalp should be able to move freely with palpation
* Not feel boggy or tender
* Lumps may be felt on palpation only - 5Face/mouth* Facial expressions - lift eyebrows, resist the shut eyes, smile, whistle, puff out cheeks - this is testing the FACIAL NERVE
* Stick out tongue and open wide - inspect for pink mucosa, candida, mucositis or ulcers
* Swollen tonsils, pus
* Uvula in the right place - cranial nerve dysfunction? - 6Eyes* PERRLA
* Pupils equal sized?
* Pupils round?
* Reactive to light - should be shrinking? - use of torch in the corner of the eyes
* Accommodating - able to look at near and far away - pen nearby and person/clock far away
* Test the movement of the eyes with the pen - any nystagmus for example? - 7Lymph nodes* Need to be mobile, not tethered, soft, regular in shape
* Three middle fingers to roll
* Submental, submandibular, tonsillar, parotid, preauricular, postauricular, occipital, cervical and supraclavicular in that order
* I.e. under the chin then work around up the sideburns and then round back of ears, down the neck and then to the collar bone - 8Thyroid* Three middle fingers again
* Just under the Adams apple
* Get them to swallow and see what happens - any asymmetry
* Shouldn't be able to feel - 9Red flags* Bogginess of scalp
* Asymmetry to face
* Pupils are not PEARRL
* Lymph nodes large/irregular/hard/tethered
* Visual loss or disturbances
* Compensated state
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- Flashcards on Head and neck flashcards, created by Jonny Howard on 15/01/2023.
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- Jonny Howard
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