Spring 2012 1

Head and Neck and Face Assessment

11

Week 4 b

Structure and Function

• Head– Cranial bones– Facial bones– Cranial nerves

• Neck:– Cervical vertebrae– Major muscles– Thyroid cartilage– Thyroid gland – Trachea– Lymph nodes

Spring 2012 222

Health History

• Headache• Dizziness• Head injury• Neck pain, stiff neck, limited ROM• Neck mass• Thyroid problems• Self care behaviors

Spring 2012 333

Physical Examination of Head and Face

INSPECTION

PALPATION

PERCUSSION

Spring 2012 444

Abnormal Facial Appearances in Chronic Illnesses

• Acromegaly• Cushing’s syndrome• Hyperthyroidism• Hypothyroidism• Bell’s Palsy• Stroke/ CVA• Cachectic• Scleroderma

Spring 2012 555

Inspection

• Size, Shape, Symmetry, Position *• Facial Expression – Symmetry– Nasolabial Folds– Palpebral Fissures

Spring 2012 6

¿ PALPATE ?• Head• Face• Nose• Sinuses• Glands• Lips • Oropharynx

Spring 2012 7

Percussion?

Physical Examination: Neck

Inspection 1.

2.

Palpation

Auscultation

Spring 2012 888

Physical Examination: Neck

INSPECT

PALPATE

Auscultate?

Spring 2012 999