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- Inspect and examine the hair, scalp, skull, and face.
- Check for abnormalities in turgor and color. Check also for signs of edema & appropriate facies.
- Palpate lymph nodes starting from the pre-auricular nodes, all the way upwards and around the ear until the supraclavicular lymph nodes.
- No visible lesions on the scalp, skull, and face. Hair with adequate distribution. No visible elevations or depressions.
- Symmetric color, no edema and good skin turgor (take note that skin turgor may also be checked in other parts of the body ie. arms and abdomen).
- No palpable lymph nodes.
- Inspect and palpate the cervical lymph nodes.
- Note any masses or unusual pulsations of the neck.
- Feel for any deviation of the trachea.
- Observe the patient’s breathing.
- No visible elevations or derpessions. No palpable lymph nodes.
- No visible pulsations (Different from checking the internal jugular venous pressure).
- No deviation of the trachea.
- Effortless breathing (part of the general survey).
Thyroid Gland Examination
- Inspect the anterior neck area and ask the patient to swallow.
- Ask patient to slightly flex his or her neck forward just enough to relax the SCMs.
- Go at the back of the patient and press finger tips of both hands on the patient’s neck, the index finger just below the cricoid cartilage.
- Feel for the thyroid isthmus and lateral lobes. Take note of the size, shape, and consistency of the gland.
- No visible elevations or depressions. No visible masses or nodules (the thyroid normally moves with swallowing).
- Thyroid gland normally not palpable. When palpable, texture should be smooth and rubbery.