Locations: · Occipital nodes at the base of the skull · Postauricular nodes located superficially over the mastoid process · Preauricular nodes located in front of the ear · Tonsillar nodes at the angle of the mandible · Submandibular nodes halfway between the angle and the tip of the mandible · Submental nodes in the midline behind the tip of the mandible. · Facial nodes located in the maxillary region · Anterior cervical chain nodes at the anterior border of the SCM · Posterior cervical chain nodes along the posterior border of the SCM · Supraclavicular nodes located just above the clavicle
z Visc Head Palp: Tracheal tug – perform, feel for, indicates
· Use the thumb and 2nd finger to palpate each side of the trachea just below the thyroid isthmus. If a downward tug sensation is felt with a synchronous pulse, this is evidence of an aortic aneurysm.
z Visc Head Palp: Thyroid gland – feel for
· (7) nodules, tenderness, size, shape, configuration, consistency, and tenderness.
z Visc Head Palp: Patient swallowing s/b, difficulty may indicate
· Thyroid cartilage movement should be smooth, painless, symmetrical and midline. · It should be smooth and rhythmic. There should be no need to swallow twice. · Difficulty in swallowing may be an enlarged thyroid gland or a space-occupying lesion in the anterior spine.