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Head Face and Neck assessment

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hydrocephalus
yields a "cracked pot" sound.
(Macewen's sign)
hydrocephalus
obstruction of the drainage of CSF results in excessive accumulation, increasing intracranial pressure, and enlargement of the head.
hydrocephalus
increasing pressure also produces dilated scalp veins, frontal bossing, and downcast or "setting sun" eyes where the sclera is visible above the iris
padget's disease of bone
osteitis deformans
padgets disease of bone
a localized bone disease of unknown etiology that softens thickens, and deforms bone. occurs more in males. characterized by bowed long bones, sudden fractures, frontal bossing, and enlarging skull bones that form an acorn-shaped cranium.
paget's disease of bone
enlarging skull bones press on cranial nerves, causing sypmtoms of headache, vertigo, tinnitus, progressive deafness, and optic atrophy and compression of the spinal cord.
acromegaly
excessive secretion of growth hormone from the pituitary after puberty creates an enlarged skull and thickened cranial bones
acromegaly
elongated head, massive face, prominent nose and lower jaw, heavy eyebrow ridge, and coarse facial features
torticollis
wryneck
torticollis
a hematoma in one sternomastoid muscle, probably injured by intrauterine malposition, results in head tilt to one side and limited neck ROM to the oppo side.
torticollis
feel a firm, discrete, nontender mass in mid muscle on the involved side.
thyroid-multiple nodules
multiple nodules usually indicate inflammation or a multi-nodular goiter rather than a neoplasm. However, suspect any rapidly enlarging or firm nodule
thyroid-single nodule
most are benign, although a solitary one poses a greater risk of malignancy than do multiple nodules and poses a greater risk in a young person
thyroid-single nodule
cancerous nodules tend to be hard and are fixed to surrounding structures.
pilar cyst
wen
pilar cyst (wen)
smooth, firm, fluctuant swelling on the scalp. tense pressure of the contents causes overlying skin to be shiny and taut. it is a benign growth.
parotid gland enlargement
rapid painful inflammation of the parotid occurs with mumps. also occurs with blockage of a duct, abscess, or tumor.
parotid gland enlargement
note swelling anterior to lower ear lobe. stenson duct obstruction can occur in aging adults dehydrated from diuretics or anticholinergics
fetal alcohol syndrome
facial malformations maybe recognizable at birth. characteristic facies include narrow palpebral fissures, epicanthal folds, and midfacial hypoplasia
congenital hypothyroidism
low hairline, hirsute forehaed, swollen eyelids, narrow palpebral fissures, widely spaced, depressed nasal bridge, puffy face, thick tongue protruding through an open mouth, and a dull expression. head size is normal, but the anterior and posterior fontanels are wide open
congenital hypothyroidism
head size is normal, but the anterior and posterior fontanels are wide open
down syndrome
chromosomal aberration. head and face characteristics may include upslanting eyes with inner epicanthal folds, flat nasal bridge, small broad flat nose, protruding thick tongue, ear dysplasia, short broad neck with webbing, and small hands with single palmar crease
atopic (Allergic) facies
exhausted face, blue shadows below the eyes (allergic shiners) from sluggish venous return, a double or single crease on the lower eyelids, central facial pallor, and open mouth breathing (allergic gaping)
allergic salute and crease
the transverse line formed when child pushes nose up and back to relieve itching and to free swollen turbinates
parkinson's syndrome
flat face, expressionless, "mask-like" with elevated eyebrows, staring gaze, oily skin, and drooling
cushing's syndrome
plethoric rounded "moonlike" face, prominent jowls, red cheeks, hirsutism on the upper lip, lower cheeks and chin, and acneiform rash on the chest
myxedema
hypothyroidism
hypothyroidism
note puffy edematous face, especially around eyes, coarse facial features, dry skin, and dry coarse hair and eyebrows
cachectic appearance
accompanies chronic wasting diseases such as cancer, dehydration, and starvation. sunken eyes, hollow cheeks, and exhausted defeated expression
scleroderma
hard skin.
hard, shiny skin on forehead and cheeks, pursed lips with radial furrowing, absent skinfolds, muscle atrophy of face, absence of expression
bell's palsy
cranial nerve 7 paralysis. complete paralysis of one side of face.
brain attack or cerebrovascular accident
stroke, paralysis of lower facial muscles