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Head & Face/ Neurological Responses
Clinical III L.O.T.
52
Health Care
Undergraduate 3
02/28/2014

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Cards

Term
Name the 12 Cranial Nerves in order and thier funciton.
Definition

I: Olfactory-Smell

II: Optic-Visual acuity, peripheral vision

III: Oculomotoer-pupilary rflx

IV: Trochlear-upward eye movement
V: Trigeminal -Facial sensation, motor for chewing 

VI: Abducens-Lateral eye mvt

VII: Facial-expression/ taste

VIII: Vestibulocochlear-hearing, equilibrium

IX: Glossopharyngeal-swallowing and taste

X: Vagus- gag rflx

XI: Accessory-shrug

XII: Hypoglossal-tongue mvt

 

Term
How to test Olfactory Nerve
Definition
Smell something familiar (armpit, peppermint, etc)
Term
How to test Optic Nerve
Definition
Look at something in the distance, i.e. score of the game or time on a clock
Term
How to test Oculomotor Nerve
Definition
Pupilary rflx with a pen light
Term
How to test Trochlear Nerve
Definition
follow finger upward
Term
How to test Trigeminal Nerve
Definition
close eyes and touch different areas of the face, have them open and close their mouth
Term
How to test Abducens Nerve
Definition
follow finger laterally
Term
How to test Facial nerve
Definition
Have them smile, frown, puff out cheeks, squeez eyes shut
Term
How to test Vestibulocochlear Nerve
Definition
rub fingers by ear with patient eyes closed and ask which side they hear the noise from
Term
How to test Glossopharyngeal Nerve
Definition
Swallow, lick arm (salty)
Term
How to test Vagus Nerve
Definition
have the patient swallow
Term
How to test Accessory Never
Definition
Shrug
Term
How to test Hypoglossal nerve
Definition
say ah, stick tonge out, move it around
Term
S&S associated with head injury
Definition
Amnesia, LOC, Orientation, Intracranial Hemotomoa, balance and coordination, pupil and eye mvt, pulse, blood pressure, facial postures
Term
Retrograde amnesia
Definition
Forgetting information that happened prior to the injury
Term
Anterograde Amnesia
Definition
Forgetting information that has happened since the injury
Term
LOC
Definition
glasgow coma scale, alert, verbal, pain, unresponsive (AVPU)
Term
Orientation
Definition
Where are we, what day is it, what time is it
Term
Intracranial hematoma
Definition
Loss of conciousness, gradual onset of symptoms, headache, nausea, dizziness, pupil dilation, sleepiness
Term
Balance and Coordination
Definition
BESS Test, Romberg, finger to nose, heel to toe walking
Term
Pupil and Eye Mvt
Definition
pupils, PEARL, nystagmus, blurred vision
Term
Pulse
Definition
decreased pulse associated with increased intracranial pressure
Term
facial postures
Definition
for example: bels palsy
Term
Orbital blowout fx
Definition
diplopia, restricted eye mvt, downward displacement of eye, pain, soft tisssue swelling, hemorrhage
Term
Conjunctivitis
Definition
swelling, itching, burning, pain, discharge
Term
Corneal Abrasion
Definition

severe pain, photophobia, watering, spasm, foreign body sensation

 

test using fluorescent dye test 

Term
Corneal laceration
Definition
open globe, rupture from blunt/sharp trauma, decreased vision, pain, bloody tears, decressed eye movemtn, hyphema
Term
Detached retina
Definition
specks floating, flashes of light, blurred vision, curtain falling into field of vision
Term
Hyphema
Definition
blood in the anterior chamber, reddish tinge, may partially or entirely fill chamber, may turn green, loss of vision
Term
Stye
Definition
infection, sebacceous gland of eyelid, staph infection, painful pustule
Term
pinna hematoma
Definition
hemorrage, fluid accumulation, hematomoa, left unresolved-keloid scar (cauliflower ear)
Term
Impacted cerumen
Definition
muffled hearing, partial hearing loss, little to no pain
Term
otitis externa
Definition
swimmers ear, pain, dizziness, itching, discharge, partial hearing loss
Term
otitis media
Definition
middle ear infection, intense pain, fluid drain,transient hearing loss, systemic signs of infection
Term
Deviated septum
Definition
bleeding, nasal pain, may be a septal hematoma, swelling, maybe external deformity, unilateral nasal obstruction
Term
Epistaxis
Definition
nose bleed, if >5 min take more serious action
Term
Nasal Fx
Definition
profuse hemorrhage, swellling, deformity, creptius, mobility
Term
Gingivitis
Definition
red, swollen gums, pain w/ brushing, bad breath, bad taste
Term
Mandibular fx
Definition

deformity, malocclusion, pain w/biting, bleeding gums

 

test using the tongue blade test or tuning fork

Term
Maxilla fx
Definition

pain w/ chewing, malocculsion, nosebleed, double vision, numbness in lip and cheek

 

test with tuning fork

Term
Periodontitis
Definition
tooth sensitivity, red swollen gums, pain and bleeding w/ brushing loosening of the teeth
Term
TMJ dislocation
Definition

prone, locked open position, malocclusion 

 

 

Term
TMJ Dysfunction
Definition

headache, earache, neck pain, limited ROM, hyper/hypomobility, malocculsion 

 

test by TMJ ROM test and finger in ear test 

Term
Tooth abscess
Definition
decay left untreated, pain aroudn tooth, sesitive to heat
Term
Tooth fx
Definition
uncomplicatied, complicated crown fx, root rx
Term
tooth luxation
Definition
little to no pain, can be difficult to diagnose unless grossly displaced
Term
cognitive tests
Definition
recall, seriral sevens, digit recal
Term
cerebellar function
Definition
rombergs, finger to nose test, heel to toe walking, BESS
Term
Identify the dermotomes: C4, c5, c6, c7, c8, T1, T2-12, L1, L2, L3, L4, L5, S1, S2
Definition
[image]
Term
identify myotomes: C4, C5, C6, C7, C8, T1, L1/2, L3, L4, L5, S1, S2
Definition
[image]
Term
Deep tendon reflexes: C5, C6, C7, S1, L2/3/4, S1, S2
Definition

C5: Biceps tendon

C6: brachioradialis tendon

C7: Triceps tendon

S1: achilles

S2: biceps femoris tendon

L2/3/4: patellar tendon 

Term
Pathological reflexes
Definition

Pupillary reflex/ reaciton

test for eye motility

Babinski's

superficial abdominal

openhiem

rombergs's sign 

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