Neck & Cervical Assessment
Inspect neck for the following:
Appearance:
Normal :Symmetrical, centered head position
Movement:
Smooth, controlled movements; range of motion
(ROM) from:
Flexion = 45 degree
Extension = 55 degree
Lateral abduction = 40 degree
Rotation = 70 degree
Abnormal : Asymmetrical , mass benign or
malignant ,client may complains pain with
flexion or rotation ,pain associated muscle
spasm cause by meningitis , generalized
discomfort may related to trauma, inflammation of muscle or vertebral disease
Palpation
Palpate trachea for position
(tracheal rings, cricoid &thyroid cartilage).
Midline position; symmetrical
Palpate thyroid for the following:
Position Characteristics, landmarks
Midline ,Smooth, firm, no tender
Ask the client to drink sips of water normally thyroid move upward . The movement not visible in males the thyroid cartilage large or Adam’s apple is more prominent than in females
Guidelines for palpating thyroid:
- Stand behind client &position hands with thumbs on nape of client's neck.
- Ask client to flex neck forward &to the right, & use fingers of the left hand to displace thyroid to the right.
- Palpate the right lobe using the right fingers while client swallows small sips of water.
- Repeat procedure to examine the left lobe.
(Note: ability to see or palpate the thyroid
varies considerably with client thyroid
size &body build).
Palpate cervical lymph nodes for the
following:
Size &shape : Cervical lymph nodes are usually
not palpable. If palpable, they
should be lcm or less &round.
Delineation:Discrete
Mobility:mobile
Consistency:soft
tenderness :No tender
Lymph Nodes
1- Preaurical
2- Postaurical
3- Occipital
4- Tonsillar
5- Submandibular
6- Submental
7-Anterior cervical chain (deep cervical)
8- Posterior cervical chain
9- Supraclavical
Auscultation
Use bell to assess bruit sound for carotid
artery and thyroid gland
ليست هناك تعليقات:
إرسال تعليق