4.19 Cranial Nerves Flashcards
testing olfactory
- use some scent (lavender, coffee, vanilla, etc.)
- 1 nostril at a time
Why is it important to test olfactory?
- REALLY important for safety (i.e. fire, caustic agents, gas, smoke, bleach, etc)
- can be a predictor for other conditions
- smell if they’ve crapped their pants
fancy can’t smell word
anosmia
What can anosmia be a predictor for?
Pts often complain of loss of sense of smell before getting Parkinsons or Alzheimers
big letter chart at the eye doctor
Snellen chart
What does 20/20 mean with vision?
Things that are 20 feet away look like they’re 20 feet away
How are peripheral vision fields tested?
“confrontation”
- Ally assaulted in the chair
- can stand behind and move hands around until they see
Why do we often miss testing vision? What should we be asking?
- hospital
- Do you wear glasses? What are they for?
visual field: up
60˚
visual field: down
70˚
visual field: nasally
60˚
visual field: laterally
90˚
What other nerve is also tested with the oculomotor nerve?
optic
Why do cognitive issues come into play with oculomotor testing?
pt has to understand what you’re asking them to do
Things to consider when testing oculomotor with respect to movements and tracking
- Are they yoked?
- Lazy eye?
- Do the eyes follow?
