Description :

Head and neck examination statement of goals understand and perform an examination of the head and neck learning objectives a describe the anatomy of the head including regions of the skull temporomandibular joint tmj salivary glands and temporal artery. The neck provides a powerful flexible union between the head and the trunk allowing controlled movement and a wide visual field the superficial cervical muscles are summarised in table 3 and figure 46 and the cervical spine and deep muscles are considered with the back page 77 it gives passage to the airway page 188 and digestive tract page 285 and the great vessels of the head . Signs of volume depletion include orthostatic hypotension measurement differences in bp and pulse when patient changes from lying to standing position definitions and relability of exam vary but commonly defined as reduction in systolic bp of 20 points and diastolic bp reduction of 10 points with a rise in pulse of 20 points. Neck pain is a common and costly problem in western society nearly two thirds of the us population will experience neck pain at some point in their lives and at any one time about 5 of the us population has sufficient neck pain to cause disability although the likelihood of defining a precise ca . An interesting illustration of the physical exam if you put your stethoscope over this what will you hear a patient presents with foot pain and these chronic findings stanford ent free oral screening november 2nd your patient gets this rash whats the diagnosis this patient presents with chest pain whats the diagnosis