Exam 2 Flashcards
CN I
Olfactory
- smell
CN II
Optic
- sight
CN III
Oculomotor
- eyeball movement: MR, IR, SR, IO
- movement of upper eyelid: LP
- pupillary light reflex
CN IV
Trochlear
- eyeball movement: superior oblique
CN V
Trigeminal
- Opthalmic: facial sensation/pupillary dilation
- Maxillary: facial sensation
- Mandibular: chewing/facial sensation
CN VI
Abducens (6 Abs)
- eyeball movement: lateral rectus
CN VII
Facial
- taste: anterior of tongue
- facial expression/eyelid closing
- lacrimation
- salivation
CN VIII
Vestibulocochlear
- hearing: cochlea
- balance: vestibular apparatus
CN IX
Glossopharyngeal
- sensation from posterior 1/3 of tongue, tonsils middle ear, pharynx
- stylopharyngeus muscle
- salivation
CN X
Vagus
- swallowing
- elevation of palate
- talking
- coughing
- gag reflex
- heart rate
- GI peristalsis
- sweating
- vasovagal synope
- peripheral chemoceptors
CN XI
Accessory
- head turning: SCM
- shrugging: trapezius
CN XII
Hypoglossal
- most muscles of tongue (except palataglasus)
- tongue movement
What to look at when assessing integumentary system?
skin
hair
scalp
nails
Integumentary Assessment Equipment
penlight
gloves
flexible ruler/tape measure
gown/drape to cover the client
What are you looking for when inspecting the skin?
color
odor
integrity
Abnormal findings in skin:
tenderness may indicate….
inflammation
Abnormal findings in skin:
increase moisture
fever or thyroxitoxicosis
Abnormal findings in skin:
decrease moisture
dehydration, myxedema, chronic nepriritis
Abnormal findings in skin:
coarse, thick, dry skin
hypothyroidism
Abnormal findings in skin:
skin more fine-texture
hyperthyroidism
Abnormal findings in skin:
smooth, thin, shiny skin
Arterial Insufficiency
Abnormal findings in skin:
thick, rough skin
venous insufficiency
Abnormal findings in skin:
decreased turgor/tenting
dehydration or normal aging
Abnormal findings in skin:
increase turgor/tension
scleroderma and edema
What are you looking for when inspecting the nails?
color
condition
angle of attachment
presence of focal or generalized abnormalities (ridges/clubbing)
Normal nail angle
160*
abnormal nail angle
> or = 180*
Abnormal findings in nails:
yellow nails
cigarette smoking
fungal infection
psoriasis
Abnormal findings in nails:
very distal band of reddish-pink or brown covering <20%
cirrhosis
disorder causing hypoalbuminemia
Abnormal findings in nails:
distal band of reddish-pink or brown covering 20% to 60% of the nail
renal disease
hypoalbuminemia
Abnormal findings in nails:
green nails (pseudonomas)
infection
Abnormal findings in nails:
white nails (leukonychia)
trauma
liver
cardiovascular
renal disease
Abnormal findings in nails:
black nails
trauma
Abnormal findings in nails:
splinter hemmorhage
bacterial endocarditis
trauma
Abnormal findings in nails:
clubbing
congenital heart disease
cystic fibrosis
chronic pulmonary disease
Abnormal findings in nails:
spooning/concave nail (koilonychia)
severe iron deficiency anemia
Abnormal findings in nails:
separation of nail from the bed (onycholysis)
fungal infection
psoriasis
eczema
following trauma
as allergic response to new products
Abnormal findings in nails:
pitting
psoriasis
What to look for when examining lesions?
size
color
shape
consistency
elevation
location
distribution
configuration
tenderness
fluid
drainage
arise from healthy skin tissue
primary lesion
non-palpable
skin color change
< 1cm
freckles, mole melanoma
Macule
palpable
circuscribed
solid elevation of the skin
<1cm
elevated nevus
psoriasis
Papule