Head Face And Neck Exam- Physical Exam And Dx

Front 1

normal anatomical characteristics for HFN

Back 1

symmetry in HFN, fused sutures in skull (adults/teens), no lumps or droopiness in the face, free movement of the neck

Front 2

fx of skull

Back 2

protects the brain

Front 3

fx of face

Back 3

contains a myriad of nerves and sensory organs that connect the brain to the outside world

Front 4

fx of neck

Back 4

provides muscles to move the head, contains trachea, larynx and thyroid

Front 5

fx of thyroid

Back 5

regulates metabolism of all body systems

Front 6

common sx of head

Back 6

headaches, dizziness, head injuries, neurological problems

Front 7

common sx of face

Back 7

paralysis, abnormal growth of head, abnormal distance between eyes, any changes to face

Front 8

common sx of neck

Back 8

lumps, swollen glands, goiter, stiffness, pain

Front 9

steps for HFN exam

Back 9

1) inspect/palpate hair and scalp
2) inspect face for abnormalities
3) palpate temporomandibular joint, parotid glands and temporal arteries bilaterally
4) inspect neck using tangential lighting
5) flex, extend, rotate and bend neck (feel for crepitis)
6) palpate trachea (look for deviation also- ask pt to swallow)
7) palpate muscles (SCM, paravertebral, traps)
8) palpate nodes - 9 different sets
9) check strength of muscles
10) inspect thyroid from behind while deviating trachea

Front 10

acromegaly

Back 10

syndrome where anterior pituitary excretes too much growth hormone, defined by expansion of the skull at the fontanelle, jaw protrusion with hyperglossia, brow protrusion

Front 11

anterior triangle

Back 11

region of the neck, essentially from the tonsillary node to the submental node down to the medial part of clavicle

Front 12

bell's palsy

Back 12

form of facial paralysis caused by a dysfunction of cranial nerve VII (facial nerve)

Front 13

bruit

Back 13

sound of vascular origin

Front 14

carotid artery

Back 14

artery that supplies the head and neck with oxygenated blood

Front 15

crepitation

Back 15

the grating, crackling and popping sounds and sensations experienced under the skin and joints

Front 16

anterior triangle

Back 16

region of the neck, essentially from the tonsillary node to the submental node down to the medial part of clavicle

Front 17

bell's palsy

Back 17

form of facial paralysis caused by a dysfunction of cranial nerve VII (facial nerve)

Front 18

bruit

Back 18

sound of vascular origin

Front 19

carotid artery

Back 19

artery that supplies the head and neck with oxygenated blood

Front 20

crepitation

Back 20

the grating, crackling and popping sounds and sensations experienced under the skin and joints

Front 21

cricoid cartilage

Back 21

ring of cartilage around the trachea

Front 22

cushing's syndrome

Back 22

hormone disorder caused by high levels of cortisol in the blood, defined by weight gain particularly in the trunk and face

Front 23

facies

Back 23

faces

Front 24

goiter

Back 24

associated with hyperthyroidism, sign is anterior neck mass

Front 25

horner's syndrome

Back 25

problem with sympathetic nervous system, signs include drooping eye lid, constriction of the pupil and redness of conjunctiva

Front 26

hyperthyroidism

Back 26

overproduction of thyroid hormones, signs include exophthalamos, weight loss, hair loss, intolerance to heat

Front 27

macrocephaly

Back 27

abnormally large head

Front 28

microcephaly

Back 28

abnormally small head

Front 29

moon facies

Back 29

face swells and is a moon shape, symptom of Cushing’s syndrome

Front 30

myxedema

Back 30

condition marked by thickening and swelling of the skin caused by insufficient production of thyroid hormones by the thyroid gland

Front 31

parkinson's disease

Back 31

neurodegenerative disease

Front 32

posterior triangle

Back 32

region of the neck, posterior to SCM and anterior to trapezius

Front 33

sternocleidomastoid

Back 33

neck muscle, flexes and rotates the neck

Front 34

thyroid cartilage

Back 34

cartilage structure around the trachea, protects the larynx

Front 35

tic

Back 35

repetitive nonrhythmic movement or vocalizations

Front 36

torticollis

Back 36

stiff neck associated with muscle spasm, classically causing lateral flexion contracture of the cervical spine musculature

Front 37

zygomatic arch

Back 37

cheek bone

Front 38

reason for doing HFN exam

Back 38

Monitor for abnormalities. Many internal malfunctions manifest in the head, face and neck, this is a quick and easy screening for other anomalies.

Front 39

equipment needed for HFN exam

Back 39

o Stethoscope
o Disposable gloves
o Tongue depressors
o Cotton swabs
o Wood’s lamp
o Water to help pt. swallow

Front 40

hydrocephalis

Back 40

Front 41

signs of stroke

Back 41

Front 42

presentation of temporal arteritis

Back 42

Front 43

presentation of down's syndrome

Back 43

Front 44

presentation of low set ears

Back 44

Front 45

presentation of enlarged nodes

Back 45