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Flashcards in Extraoral Exam Deck (38)
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1

Extraoral Head and Neck Examination

What is is?
A physical examination technique consisting of:
A ___ ____ ____ of the skin of the head and neck
_____ of the lymph nodes, salivary glands, thyroid, and TMJ
Thorough and accurate _____ of findings.

systematic visual inspection
Palpation
documentation

2

When do I preform a extra oral screening

Annually or more often if needed

3

EXTRAORAL: Keys to Effective Examination

- Thorough Examination
-Consistent Sequence to include all structures
-Good Palpation technique
- Careful Documentation of all findings

4

***Never palpate prior to __ ____

visual examination

5

Document findings utilizing ____/_____

lesion/descriptors

6

Correct Palpation Technique

Circular palpation. Light to firm pressure

7

***What are Compression Techniques

To detect abnormalities such as swelling, tumors, enlarged lymph nodes, structure must be compressed :
- Against a firm structure
- or between the examiners fingers

8

Compression between fingers of one hand

Bi-digital palpation

9

Compression between fingers of both hands

Bi manual palpation

10

Compression against underlying structure /compression over underlying structure

Digital palpation

11

Descriptors of Head and Neck Findings Detected by Palpation

Surface: Smooth or rough/flat/raised knob/lump/swelling
Shape: Irregular/round/oval
Consistency:Firm/Hard/Spongy
Mobility: Mobile or Fixed
Tennderness: Amount of tenderness if any experienced by the patient whe the structure is palpated

12

Four Subgroups of Head and Neck Exam

1. Overall appraisal of head, neck, face, skin
2. Lymph nodes of head and neck
3. Salivary and thyroid glands
4. TMJ

13

Overall Appraisal of Head, Neck, Face, Ears, Skin

Position patient in upright position, supporting his or her own head
___ ___ and ____ for performing procedure to patient, answer any questions and secure consent

Remove eyeglasses, hat, visor, scarf, headphones, etc.

Patient napkin is placed ___ _____ of head and neck exam.

Unobtrusively inspect skin and symmetry of face and neck

Explain procedure and rationale

upon completion

14

Normal Findings
- Face and neck appear ___
- Skin is ___ and ___ in color
- Even ____ of hair on scalp

symmetrical
intact and uniform
distribution

15

Is documentation required for findings within normal limits for Extra oral

No

16

Notable Findings

- Lesions or color changes of the skin
- Uneven patterns of hair loss
-Masses in the neck
- Wounds, bruises, scars
- Swelling of face or neck
- Asymmetry of face or neck

17

How to document notable findings

Location
Discriptors( shape, borders,color,size)
Duration
follow up questions

18

***Request the following information for follow up on findings

***
- Has it always looked like this or has it changed over time? Include size, shape, texture, color.

-Does it hurt or how do you know that it is there? If yes, when does it hurt? What makes it hurt?

19

Lymphatic System

A network of lymph nodes connected by lymphatic vessels
-plays a role in defense against infection

20

Bean Shaped structures that filter and trap bacteria, fungi, viruses, and waste

Lymph nodes

21

400- ___ lymph nodes in the body

700

22

170- ___ lymph nodes in neck

200

23

Normal healthy lymph nodes can or can not be felt

can not

24

Enlarged lymph nodes

Lymphadenopathy

25

Infected lymph nodes will have 6 qualities

-Swollen, feels a bit like a grape
- firm
- tender
-enlarged
-bilateral swellin
-freely moveable

26

Malignant Lymph Nodes

- Enlarged
-Firm
-Non-tender-***Painless
- Matted-stuck to each other-bundle of grapes
-FIXED to underlying tissue
-Unilateral (enlarged on only one side of head or neck)

27

Correct Palpation Technique:
Use the fingertips to ________________, using a circular motion.

ALWAYS ____ PRIOR to _____

compress the structure against the underlying tissues

Always look prior to palpating

28

something to remember before palpating postauricular nodes

move ear and visual

29

Occipital

- Always look prior to palpating
- Visually inspect head, scalp, and ears from behind patient
- Have patient lift hair so neck is visible
- Begin at midline of neck and palpate along hairline
- **Use CIRCULAR MOTION TO COMPRESS tissues against the underlying bone

30

located on the surface of the masseter muscle between the ear and jaw

Parotid glands