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Chapter 11 PresentationChapter 11 Presentation

Head and Neck,Including

Regional Lymphatics

Head and Neck,Including

Regional Lymphatics

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Chapter 11

Head and Neck, Including Regional Lymphatics

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Chapter 11

Head and Neck, Including Regional Lymphatics

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Chapter 11

Head and Neck, Including Regional Lymphatics

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Carolyn Jarvis Physical Examination and Healt

hAssessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved.

Head and Neck. Lymphatics

Outline

STRUCTURE AND FUNCTION

SUBJECTIVE DATA HEALTHHISTORY QUESTIONS

OBJECTIVE DATA THE

PHYSICAL EXAM

ABNORMAL FINDINGS

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Carolyn Jarvis Physical Examination and Healt

hAssessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-1. p. 268.

Chapter 11

Bones of Face and Cranium

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Carolyn Jarvis Physical Examination and Healt

hAssessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-2. p. 269.

Chapter 11

Facial Muscles

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure11-3. p. 269.

Chapter 11

Salivary Glands and Neck Vessels

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-4. p 270.

Chapter 11

Muscles of the Neck

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-5. p. 271.

Chapter 11

Location of Thyroid Gland

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved.

Head and Neck, Lymphatics

Structure and Function

Lymph Nodes of the Head and Neck

Preauricular

Posterior auricularOccipital

Submental

Submandibular

Jugulodigastric

Superficial cervicalDeep cervical

Posterior cervical

Supraclavicular

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-6. p. 271.

Chapter 11

Location of Lymph Nodes

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-7. p. 272.

Chapter 11

Drainage Pattern of Lymph Nodes

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-9. p. 279.

Chapter 11

Order of Palpation of Lymph Nodes

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved.

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved.

Head and Neck, Lymphatics

Subjective Data - Health History Questions

1. Headache

2. Head injury

3. Dizziness

4. Neck pain, limitation of

motion

5. Lumps or swelling

6. History of head or neck

surgery

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved.

Head and Neck, Lymphatics

Objective Data - The Physical Exam

The Head

Inspect and palpate

the skull

Size and Shape

Temporal Area

Inspect the face

Facial Structures

The Neck

Inspect and palpate

Symmetry

Range of Motion

Lymph Nodes

Trachea

Thyroid Gland

Posterior Approach Anterior Approach

Auscultate (if enlarged

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-10. p. 279.

Chapter 11

Palpate Deep Cervical Chain

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-11. p. 279.

Chapter 11

Palpate Supraclavicular Node

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-12. p. 280.

Chapter 11

Palpate Cervical Nodes

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-13. p. 281.

Chapter 11

Palpate Trachea

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.Copyright 2000 by W. B. Saunders Company. All rights reserved.

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved.

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-14. p. 282.

Chapter 11

Palpate Thyroid: Posterior Approach

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved. Figure 11-15. p. 282.

Chapter 11

Palpate Thyroid: Anterior Approach

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved.

Head and Neck, Lymphatics

Abnormal Findings

Abnormal Facial Appearances

with Chronic Illnesses

Parkinsons syndrome

Cushings syndrome

HyperthyroidismMyxedema (Hypothyroidism)

Bells Palsy

Brain Attack or Cerebrovascular

Accident

Cachectic AppearanceScleroderma

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Copyright 2000 by W. B. Saunders Company. All rights reserved.

Hyperthyroidism

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Copyright 2000 by W. B. Saunders Company. All rights reserved.

Hypothryroidism

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved.

Enlarged Thyroid Gland

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Carolyn Jarvis Physical Examination and Health Assessment 3rd edition.

Copyright 2000 by W. B. Saunders Company. All rights reserved.

Exopthalmos