Neck Assessment University of Kentucky颈部评估肯塔基大学.pptVIP

Neck Assessment Heather Nelson, RN Neck Inspect for symmetry, masses, scars, gland or lymph node enlargement. Evaluate ROM by having patient flex, extend, rotate, and laterally turn the head and neck. Inspect the neck as the patient swallows, observing symmetry and alignment. Head and Neck Lymph Nodes Inspect and palpate lymph nodes of the head and neck. Lymph Nodes The superficial lymph nodes are named by location and are easily palpable when enlarged. Note the size and location of any palpable nodes and whether they were soft or hard, non-tender or tender, and mobile or fixed. Lymph Nodes Systematically palpate with the pads of your index and middle fingers for the various lymph node groups. Lymph Nodes Preauricular In front of the ear Postauricular Behind the ear Occipital At the base of the skull Tonsillar At the angle of the jaw Submandibular Under the jaw on the side Submental Under the jaw in the midline Superficial (Anterior) Cervical Over and in front of the sternomastoid muscle Supraclavicular In the angle of the sternomastoid and the clavicle Thyroid Gland Evaluation Inspect neck anteriorly for visible thyroid tissue and asymmetry with swallowing. Watch patient swallow when head is hyperextended. Note asymmetry and enlargement. Palpate using a gentle touch. Palpate for size, shape, configuration, tenderness, and presence of any nodules. * * * * * 29 29 30 30 31 31