Head & Neck Exam 3.

Test Muscle Strength

a. Shoulder shrug (CN XI)
1. Wash hands b. sternocleidomastoid strength
4. Palpate neck
HEAD
a. tracheal position
1. Observe head position
LYMPH NODES
2. Inspect skull and scalp
a. symmetry 1. Palpate lymph nodes
b. unusual features a. Size, Consistency, Warmth, Mobility
c. tics i. Preauricular
d. characteristic facies ii. Postauricular
e. size/shape iii. posterior cervical
f. lesions iv. occipital
g. hair pattern v. tonsillar
3. Palpate the head and scalp vi. anterior superficial cervical
a. Symmetry vii. submandibular
b. Tenderness viii. submental
c. scalp movement ix. supraclavicular
d. temporal arteries
i. thickening THYROID:
ii. hardness 1. Inspect thyroid
iii. tenderness a. nodule
4. Auscultate the temporal artery for bruit b. enlargement
NECK 2. Palpate the thyroid gland (with water)
a. Size
1. Inspect neck b. Shape
a. Symmetry c. Consistency
b. alignment of trachea d. Tenderness
c. fullness e. Nodules
d. masses f. Isthmus
e. webbing g.lateral lobes
f. skin folds.
2. Test ROM
a. Flexion, extension, rotation, lateral bending