1. Physical examination of the head and the neck I,II Physical examination of the eyes and the throat doc. MUDr Jitka Zelenková, CSc

2. Inspection The head is usually mesocephalic in shape, freely moveable, with characteristic border between facial and hairy parts
Shape variations:
turicephalia (oxycephalia)
dolichocephalia
brachycephalia
mikrocephalia
macrocephalia
assymetric head

3. Movement Shiver Hair cover rough nodding movement
Alopecia (hairlessness)
diffuse
local

4. Palpation
Deviations are ussually recognised by palpation of the hairy part of the head
small tumours
soft
stiffer
very hard
pulsating formations
inflammations
folliculitis
furuncle
erysipelas
The 1st,2nd, and 3rd branches of n.V. are not painful

5. Percussion
Percussional examination of the head is not painful

6. is symetrical, the skin is pink, with no pathological changes
Face
is symetrical, the skin is pink, with no pathological changes
Inflammations
erysipelas
herpes zoster
herpes simplex
parotitis
furuncle
acne

7. Neoplasmas benign tumours fibroma lipoma atheroma malignant tumours
basaloma
spinocellular carcinoma
malanoblastoma
„Butterfly exanthema“

8. Swellings Prominences Hirsutism of dental origin
above the maxillary cavities
in front of the ear
Prominences
Hirsutism

9. The expression of the face
facies febrilis
facies Hippocratica
facies mitralis
facies nephritica
facies plethorica

10. Facies in cases of endocrinopathy
acromegaly
thyrotoxycosis
myxoedema
Cushing´s syndrome

11. Innervation of the cranial nerves
N.VII. (facialis)
Central paresis
Peripheral paresis
N.V. (trigeminus)

12. Eyebrows are symmetrical
Eyes and surroundings
Eyebrows are symmetrical
asymmetric eyebrows
thinned eyebrows
supraorbital arcs

13. Eyelids without swellings
bilaterally
unilaterally
eyeglass-like haematoma
epicanthus
ectropion
entropion
xanthelasma
hyperpigmentation

14. Eye slits Eyeballs bilateral narrowing asymmetry
The bulbus are in the central position,freely
movable in all directions
exopthalmos
enophthalmos
convergent strabismus
divergent strabismus

15. Motility of the eyeballs
convergent and divergent strabismus
nystagmus

16. Conjuctivae are pink, sclerae are anicteric
paleness
hyperaemia
xerophthalmia
Scleare
yellow color
redding of the bulbar conjuctiva
sub-conjuctival haemorrhage

17. are round, isocoric, react to light exposure and convergence
Pupils
are round, isocoric, react to light exposure and convergence
meiosis
mydriasis
anisocoria
Cornea is transparent
turbidities and ulcers
arcus senilis lipoides corneae
corneal reflex

18. Nose
is of adequate size and shape, symmetric, freely passable, without secretion
big nose
rhinophyma
saddle nose
asymmetric
epistaxis
inflammation
furuncle
herpes febrilis

19. are symmetric, pink, smooth, and moist
Lips
are symmetric, pink, smooth, and moist
asymmetric
cyanotic
dry
inflamed
cheilitis
herpes labialis (febrilis)
anguli infectiosi

20. Smell from oral cavity (foetor ex ore) is not normally present
non-characteristic
characteristic acetone smell
alcoholic
hepatic
urine

21. Mucous membrane of oral cavity is pink, shiny, without pathological changes
pale
erythematous
black spots
Koplick´s spots
petechia, suffusion
erosions
soor (trush)

22. Tonque sticks out in medial line, it is pink and wet
deviation
dry
coated
raspberry-coloured
couted tonque
Hunter ś glossitis
macroglossia

23. Gums are pink, strong, without bleeding display
erythematous
bleeding manifestations
coloured edge
soor

24. Teeth are fully developed, healthy
decayed teeth
defective teeth
dentures (prosthesis)
periodontitis

25. The pharynx entrance is symmetrical, muscous membrane is pink, symmetrically developing when phonating, and tonsils are symmetrical, partly submerged
Soft palate, arches, uvula
yellowish, or yellow
eythematous
blisters
asymmetric

26. Tonsils missing tonsils submerged hypertrophied enlarged, erythematous
asymmetric

27. Auricles
are of a characteristic shape, external auditory meatus without effusion: pressure on tragus and palpation on processus mastoideus are painless
gouty tophi
secretion in auditory meatus
bleeding from auditory meatus
pulling the auricle

28. Examination of the neck Inspection
The shape and lenght of neck are proportional to the body
slim
strong
pulsation of carotid vessels
horizontal scars
Post-radiation changes

29. Change of posture Movements is free in all directions Palpation
movements limitations
Musset´s symptom
Change of posture
deviation on the side
opisthotonus
Palpation
carotid artery

30. Thyroid gland is normally neither visible nor palpable
small diffuse goitre
colloidal goitre
Hashimoto´s goitre
thyreoiditis
Basedow´s goitre
malignant goitre
nodal goitre
retrosternal goitre

31. Cervical veins-in healthy lying patient with elevation of upper part of trunk at 45 degrees, the filling of the veins does not exceed the horizontal plain of sternocostal joint more than 2 cm
higher filling
positive vein pulsation
hepatojugular reflux
Stocke´s collar

32. Lymphatic nodes in regional areas are not visible or palpable
enlargement of inflamed node
single node
multiple nodes
enlargement of tumours node
Auscultation