How do we assess the neck? - ANSWER We auscultate major blood vessels
Why do we auscultate the neck? - ANSWER To detect bruits**, which are abnormal arterial sounds, similar to murmurs, cause be increased turbulence over major blood vessels, such as the carotid artery.
Why do bruits occur? - ...
How do we assess the neck? - ANSWER We auscultate major blood vessels
Why do we auscultate the neck? - ANSWER To detect bruits**, which are abnormal arterial sounds,
similar to murmurs, cause be increased turbulence over major blood vessels, such as the carotid artery.
Why do bruits occur? - ANSWER When an artery is partially obstructed or distended, which prevents
blood flow from moving straight through the vessel
What are some questions to ask before doing a HEENT assessment? - ANSWER Do you have headaches,
problems with frequent headaches?
Do you wear glasses/contacts?
What problems do you have with vision?
Any recent head trauma or history of head injury?
Have you had a stroke?
What do we assess for in head position assessment? - ANSWER Should be in line with neck (stroke may
affect this), facial droop (stroke or other neuro problem)
Normocephalic, hydrocephalic
What does normocephalic mean? - ANSWER normal size and shape of head *also assess scalp at this
point*
What does hydrocephalic mean? - ANSWER enlarged head, build up of fluid!
*Hydrocephalis*= build up of CSF in brain!
What do we assess the facial features for? - ANSWER Symmetry of: eyelids, eyebrows, nasolabial folds,
mouth and facial droop
, All of the above being unsymmetrical may indicate seizure/neuro problem
How do we assess the temporomadibular joint? - ANSWER Palpate the TMJ for crunching (crepitis) or
popping.
**assessing the TMJ also assesses for proper function of what cranial nerve? VII
What are some questions to ask before performing an eye inspection? - ANSWER Do you wear glasses/
contacts?
Ask patient to read paper- make sure they are literate. If not literate, ask them to identify images
Ask patient to look at Snellen eye chart, 20 ft away, covering one eye.
What does cranial nerve II control? - ANSWER Oculomotor acitivity (pupillary reflex, accommodation)
What does cranial nerves III, IV, and VI control? - ANSWER Six directions of gaze
What does EOM stand for? - ANSWER Extraocular Movements
How do we assess EOM? - ANSWER "H" assessment
How do we assess visual acuity? - ANSWER Snellen or reading a piece of paper 14 inches from face
What is nystagmus? - ANSWER If eyes are jaggedly, not smoothly, moving together in parallel
How do we assess visual fields? - ANSWER Having client cover one eye, have patient say when they can
see your finger starting from out - in.
(Prof. Snelson did this to you with her finger)
What are we assessing for in position and alignment of eye inspection? - ANSWER That eyes are parallel,
bulging, and crossing
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