Head/Neck Flashcards
Cranial Nerve 1
Olfactory; Smell
Cranial Nerve 2
Optic; Vision: Snellen Chart and Visual Field test (peripheral vision)
Cranial Nerve 3, 4, 6
Oculomotor, Trochlear, Abducens ( have pt. follow finger through 6 fields of gaze, measure pupil size and reaction to light, follow finger to nose)
Cranial Nerve 5
Trigeminal: Motor function, have pt. move jaw side to side, clench and bite down. Additionally, has pt close eyes and tell me where my fingers are I touch her face with both soft and sharp )
Cranial Nerve 7
Facial Nerve- smile, frown, blowfish, whistle.
Cranial Nerve 8
Acoustic- hearing- simply verbalize the whisper test
Cranial Nerve 9 & 10
VAGUS- describe how you got to clinic, swallow, cough, tongue depressor.
Cranial Nerve 11
Spinal Accessory- Shoulder Shrug
Cranial Nerve 12
Hypoglossal- Say “D,L,N,T” - protrude tongue move from side to side.
Head and Face exam
1.Patient Sitting.
Focused history: headaches, head injury, loss of consciousness, seizures, facial pain.? Difficulty swallowing, neck pain/stiffness, masses/lumps, hx of thyroid disease?
OLDCART FINDINGS
- Inspect: face for size, shape symmetry, position
- palpate for masses
Macrocephalic
TOO BIG-Two standard deviations above normal
Microcephalic
TOO LITTLE- two standard deviations below normal
Lymph Nodes (10)
- Pre-auricular
- Posterior Auricular
- Occipital
- Tonsillar
- Submandibular
- Submental
- Superficial Cervical
- Posterior Cervical
- Deep Cervical Chain
- Supraclavicular
How should lymph nodes feel
soft, non-tender, discrete, moveable
Trachea
Should be midline, USUALLY NOT PALPABLE