What sign was observed in Ms. Jones' neck examination?

Acanthosis nigricans is characterized by dark, velvety patches in body folds and creases, typically associated with insulin resistance and metabolic syndrome. In the context of a neck examination, it is important to recognize that acanthosis nigricans commonly occurs in regions such as the neck, which could relate to conditions such as diabetes or hormonal abnormalities.

In the case of Ms. Jones, observing acanthosis nigricans during the neck examination could suggest underlying metabolic issues rather than a direct concern with lymph nodes, thyroid glands, or other typical HEENT issues examined in routine assessments. This observation would indicate a need for further evaluation regarding her overall metabolic health.

While cervical lymphadenopathy, goiter, and swollen thyroid would involve lymph nodes or the thyroid itself, leading to different clinical considerations, the particular presence of acanthosis nigricans hints at systemic factors that may influence her health and necessitate further investigation into her metabolic state.