302- Head and Neck Assessment w/ Cranial Nerves

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KristaDavis
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171717
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302- Head and Neck Assessment w/ Cranial Nerves
Updated:
2012-09-18 13:56:25
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302 Head Neck Assessment Cranial Nerves
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Exam 2
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  1. Techniques for Head/Neck Assessment
    • oInspection
    • oPalpation
    • oPercussion
    • oAuscultation
    • o Also, perform health history
  2. Inspection of Head:
    Head, Hair, Scalp 
  3. Inspection of Face:
    • Cranial Nerve VII (Facial)
    • Cranial Nerve V (Trigeminal)
  4. Inspection of the Nose:
    • oVisual, Nasoscopic exam
    • oSeptum, turbinates
    • oSinuses, Cranial Nerve 1
  5. Inspection of the Eyes:
    • o CNII- Acuity
    • o Pupillary Reaction (direct, consensual)
    • o Accommodation (converge, constrict)
    • o EOMs (check nystagmus)- CN III, IV, and VI -6 fields of gaze
  6. Ophthalmoscopic Exam
    • Dark Room
    • Begin at zero
    • Keep both your eyes open
    • Right, right, right/ left, left, left
    • Normal Findings-
    • Clear Yellow optic disc
    • Reddish retina
    • Light red arteries
    • Dark red veins
    • Veins 1.5X > arteries
    • Initial landmark- red reflex  (See page 621)
  7. Red Reflex
  8. Fundus
  9. Ear Inspection:
    • Acuity- CN VII
    • Weber Test 
    • Rinne Test 
  10. Otoscope Exam:
    • Adult- up and back
    • Child- down and back
    • Right ear- tympanic membrane TM- 5 o’clock;
    • Left ear- 7 o’clock
  11. Mouth Inspection Consists of:
    • Lips
    • Mucosa
    • Gums
    • Teeth
    • Hard palate
    • Tongue- Inspect, CN XII

  12. Pharynx is affected by what nerves:
    CN IX (Glossopharyngeal) and X (Vagus)
  13. Neck Inspection:
    • CN XI- Spinal Accessory
    • Lymph Nodes
    • Preauricular
    • Posteriorauricular
    • Occipital
    • Tonsillar
    • Submaxillary
    • Submental
    • Posterior
    • Cervical
    • Deep
    • Cervical
    • Supraclavicular
  14. Lymph Nodes
  15. Trachea/Thyroid  Inspection:
    • Palapate to detect deviation
    • *Posterior / Anterior approach

    • *Should feel soft and elastic
    • *Palpate for nodules
  16. Inspection of Vessels:
    • Carotid arteries
    • Jugular veins

    • Inspection
    • Palpation
    • Auscultation

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