Head and Neck Examination

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Contents

[edit] Description

The head and neck examination is performed as part of a physical examination, or when a patient presents with symptoms or a condition that effect the head, mouth, salivary glands, thyroid gland, or cervical lymph nodes.


[edit] Synopsis

Short Name Eye Exam
Long Name Head and Neck Examination
TemplateID
UMLS Concept Code
Synonym
Type Observation
Revision 15586


[edit] Applicability

Account eCHR/ePHR
Sex All
Age All
Exceptions None


[edit] Instructions

Patient
Clinical


[edit] Relationships

TypeCategory or CDDCardinalityRules
ContainsHead Size0..1
ContainsSkull Symmetry0..1
ContainsScalp Tenderness0..1
ContainsHair Loss0..1
ContainsFacial Symmetry0..1
ContainsFacial Tenderness0..1
ContainsLip Color0..1
ContainsLip Texture0..1
ContainsLip Lesion0..1
ContainsGingivae Color0..1
ContainsGingival Swelling0..1
ContainsGingival Bleeding0..1
ContainsPalate Tenderness0..1
ContinasRoof of Mouth Color0..1
ContainsTongue Color0..1
ContainsTongue Surface0..1
ContainsTongue Size0..1
ContainsTongue Symmetry0..1
ContiansTooth Presence0..1
ContainsDental Hygeine0..1
ContainsBreath Odor0..1
ContainsSalivary Gland Swelling0..1
ContinasSalivary Gland Lesion0..1
ContainsThyroid Gland Size0..1
ContainsThyroid Gland Moves with Swallowing0..1
ContainsThyroid Gland Tenderness0..1
ContainsThyroid Gland Symmetry0..1
ContainsThyroid Gland Lump0..1
ContainsCervical Lymph Node Tenderness0..1
ContainsCervical Lymphadenopathy0..1
ContainsNeck Mass0..1
ContainsNeck Tenderness0..1
ContainsTracheal Position0..1
ContainsSubcutaneous Crepitus of the Neck0..1
ContainsJugular Venous Distension0..1
ContainsCarotid Bruit0..1


[edit] Attributes

Attribute Value Cardinality Data Type
General
DescriptionConcept
Normal
Negative
Not done
0..1CD
Not done becauseFree Text0..1ED
Comments Free Text 0..1ED


[edit] Reference

http://umlsks.nlm.nih.gov/

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