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    Neck Examination PDF

    Uploaded by

    Nizam Mischievous'Lovely Schremo Boyys
    This document outlines the steps for performing a neck examination, including: 1) Introducing yourself to the patient, obtaining consent, and ensuring privacy before exposing the neck area. 2) Inspecting the neck from the front and sides for any lumps, scars, skin changes, or distended neck veins. Palpating the thyroid gland and lymph nodes while having the patient perform swallowing motions. 3) Auscultating the neck for carotid bruits or thyroid bruits. 4) Thanking the patient and ensuring they are comfortable before completing the examination.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Neck Examination PDF

    Uploaded by

    Nizam Mischievous'Lovely Schremo Boyys
    182 views2 pages
    This document outlines the steps for performing a neck examination, including: 1) Introducing yourself to the patient, obtaining consent, and ensuring privacy before exposing the neck area. 2) Inspecting the neck from the front and sides for any lumps, scars, skin changes, or distended neck veins. Palpating the thyroid gland and lymph nodes while having the patient perform swallowing motions. 3) Auscultating the neck for carotid bruits or thyroid bruits. 4) Thanking the patient and ensuring they are comfortable before completing the examination.

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    Neck-Examination.pdf

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    This document outlines the steps for performing a neck examination, including: 1) Introducing yourself to the patient, obtaining consent, and ensuring privacy before exposing the neck area. 2) Inspecting the neck from the front and sides for any lumps, scars, skin changes, or distended neck veins. Palpating the thyroid gland and lymph nodes while having the patient perform swallowing motions. 3) Auscultating the neck for carotid bruits or thyroid bruits. 4) Thanking the patient and ensuring they are comfortable before completing the examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    182 views2 pages

    Neck Examination PDF

    Uploaded by

    Nizam Mischievous'Lovely Schremo Boyys
    This document outlines the steps for performing a neck examination, including: 1) Introducing yourself to the patient, obtaining consent, and ensuring privacy before exposing the neck area. 2) Inspecting the neck from the front and sides for any lumps, scars, skin changes, or distended neck veins. Palpating the thyroid gland and lymph nodes while having the patient perform swallowing motions. 3) Auscultating the neck for carotid bruits or thyroid bruits. 4) Thanking the patient and ensuring they are comfortable before completing the examination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Neck Examination

     Intro (WIIPPPPEE)
    o Wash your hands
    o Introduce yourself
    o Identity of patient – confirm
    o Permission (consent and explain examination)
    o Pain?
    o Position sitting in chair with room behind the chair for the examiner to stand
    o Privacy
    o Expose neck and clavicles (patient may need to tie hair back/ remove necklace)
    o Equipment – have a glass of water to hand

     General Inspection
    o Surroundings
     Monitoring
     Treatments
     Paraphernalia
    o Patient
     Note whether there is any dyspnoea on sitting/ lying down
     Neck
    o Inspect
     From front and sides
     Lumps/ asymmetry
     Scars (thyroidectomy/ parathyroidectomy scars using a pentorch)
     Skin changes, facial plethora (SVC obstruction)
     Distended neck veins (SVC obstruction)
     If a neck lump is seen:
     Ask patient to 1) take a sip of water, 2) hold it in their mouth 3) and swallow
    o The three part command gives the examiner time to position themselves to
    watch the neck lump on swallowing
    o Any lump attached to the pretracheal fascia will move upwards on
    swallowing i.e. a thyroid lump or thyroglossal cyst
     Ask patient to 1) open their mouth 2) and stick their tongue out
    o A midline lump that moves upwards on tongue protrusion is a thyroglossal
    cyst
    o Palpate: anterior
     Trachea
     For tracheal deviation (support back of neck whilst doing this and warn patient it
    may feel uncomfortable)
     Carotid pulse (one side at a time)
    o Palpate: posterior
     Explain to the patient that you will be moving behind them to palpate their neck. Take this
    opportunity to inspect the back of the neck.
     Thyroid gland
     Palpate one lateral lobe at a time then isthmus (nodules and thrills)
     Ask the patient the swallow another sip of water whilst palpating the thyroid gland
    (thyroid masses that move upwards on swallowing)
     Anterior and posterior triangles
     Parotid glands
     Lymph nodes
     Cervical
     Supraclavicular
    o Percuss
     Over sternum for retrosternal goitre
    o Auscultate
     Carotid bruits
     Thyroid bruits
     Any other neck lumps (if pulsatile with bruit suspect carotid artery aneurysm)
     Closure
    o Thank patient
    o Patient comfortable?
    o Help getting dressed?
    o Wash hands

    Turn to examiner, hands behind back, holding stethoscope (try not to fidget!) before saying:

     “To complete my examination, I would like to…”


     Further examination:
    o Take a full history
    o Perform a thyroid status examination
    o Perform an ENT examination
     Further Invx as indicated
    o Bloods including TFTs
    o Ultrasound lump
    o Fine needle aspiration/ core biopsy of lump

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