NCM 1234: HEALTH ASSESSMENT (RLE)

ASSESSMENT OF HEAD, NECK & LYMPH NODES

Name: __________________________________ Section: __________ Date: _____________

Name of Patient: ___________________________ Age: ___________ Gender: ___________

HEALTH HISTORY
Assessment No Yes, Explain
1. Any unusually frequent or unusually severe
headaches?

2. Any head injury?

3. Experienced any dizziness?

4. Any neck pain?

5. Any lump or swelling in head or neck?

6. Any surgery on head

PHYSICAL EXAMINATION

A. Inspect and palpate the Skull

General size and contour: _____________________________________________________

Deformities, lumps, tenderness: ________________________________________________

Temporal artery: ____________________________________________________________

Temporomandibular joint: ____________________________________________________

B. Inspect the Face

Facial expression: ____________________________________________________________

Symmetry of structures: _______________________________________________________

Edema: ____________________________________________________________________

Masses or lesions:

____________________________________________________________

Color and texture of skin: ______________________________________________________

 C. Inspect the Neck

Symmetry: _________________________________________________________________

Range of Motion, active: ______________________________________________________

Test strength of cervical muscles: _______________________________________________

Abnormal Pulsations: _________________________________________________________

Enlargement of Thyroid: ______________________________________________________

Enlargement of lymph and salivary glands: _______________________________________

D. Palpate the lymph nodes

Exact location: ______________________________________________________________

Size and shape: ______________________________________________________________

Presence or absence of tenderness: _____________________________________________

Freely movable, adherent to deeper structures, or matted together:

_________________________________________________________________________

Presence of surrounding inflammation: __________________________________________

Texture (Hard, soft, firm): _____________________________________________________

E. Palpate the trachea: _________________________________________________________

F. Palpate the thyroid gland: _____________________________________________________

G. Auscultate the thyroid gland (if enlarged): _______________________________________

Source: Udan, Josie (2009). Health assessment and physical examination: concepts and clinical application