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26 Cards in this Set
- Front
- Back
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What are the two descriptive words to state a normal shape of head?
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Normocephalic and symmetrical
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What is enlargement of the head without enlargement of the facial structures?
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hydrocephalus
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What is enlargement of the skull and bony facial structures?
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acromegaly (caused by excessive secretion of GH by the pituitary gland)
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What is a normal finding after palpation of the head?
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skull is smooth, nontender and without masses or depressions
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What is a normal finding of the temporal artery pulse?
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a weaker peripheral pulse (1/4 or 1/3) than the other peripheral pulses in the body
the artery is nontender, smooth, and readily compressible |
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What is a normal description of the scalp?
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Scalp should be shiny, intact and without lesions or masses
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If you can move a skull mass, what is it?
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sebaceous cysts
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If you can't move a skull mass, what is it?
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lipomas (fatty benign tumors)
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What are the main things you are looking for with inspection of the face?
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symmetry &
shape and features |
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What are the issues to note when looking at a pt face?
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swelling
abnormal features unusual movement |
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The shape of the face should be....
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oval, round or slightly square. There should be NO edema, disproportionate structures, or involuntary movements.
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What is this?
slanted eyes with inner epicanthal folds, a short flat nose; and a thick, protruding tongue |
down syndrome, trisomy 21, a chromosomal aberration
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What is scleroderma?
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skin is shiny, contracted and hard. The face apears to have furrows around the mouth.
This is caused from a collagen disease of unknown cause. |
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What is the normal description of muscles in the neck?
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The muscles of the neck are symmetrical with the head. The pt is able to move the head through a full range of motion without complaint of discomfort or noticable limitation.
The muscles are symmetrical without palpable masses or spasm. |
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What is CN5? Why are you assessing it?
How do you assess it? |
CN5 - Trigeminal Nerve
you are assessing the sensory component: light touch...cotton swipe on cheek |
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What is CN7? Why do you test it?
How do you assess it? |
Facial Nerve (CN VII)
You assess the motor component frown raise eyebrow wrinkle forehead close eyes tightly smile show teeth puff out cheeks you observe for symmetry of facial muscles and for weakness |
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What is CN11? Why do you test it?
How do you assess it? |
Spinal Accessory Nerve CN XI
shrug & Face side to side |
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What are the first three gerontological variations that are noted in head neck region?
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1. Loss of subcut fat and musculoskeletal changes affect the appearance and function of the head and neck
2. face symmetry may change due to dentures or loss of teeth 3. Neck veins more prominent due to loss of fat |
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What are the next three gerontological variations that are noted in the head neck region?
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4. Head neck and lower jaw may be thrust forward (w/ kyphotic posture).
5. Buffalo hump (kyphosis) 6. limited range of motion of head w/ dizziness |
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Enlargement of the head without enlargement of the facial structures
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hydrocephalus
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Enlargement of the skull and bony facial structures
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acromegaly...excessive gh from pituitary
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Assymetry of the palpebral fissures, nasolabial folds, the mouth, and facial expression may indicate damage to...
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the nerves innervating facial muscles (CN 7) as in stroke or Bell's palsy
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An abnormally wide distance between the eyes...(horse eyes)
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hypertelorism
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Facial skin is shiny, contracted and hard. The face appears to have furrows around the mouth.
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scleroderma....is a collagen disease of unknown cause
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When the eyes are popping out of the head...
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exophthalmos
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A pronounced wasting that has sunken eyes
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cachexia
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