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0. Prepare the patient (4)
- verbal consent,
- hand hygeine.
- Position patient sitting upright.
- Ask if the patient can hear you and see you
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1. General inspection from head of bed (2)
- head position
- ptosis / partial ptosis or proptosis
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2. Looking around the bed (0)
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3. CN I (1)
- Olfactory nerve
- Ask for changes
- If indicated, check nostils individually
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4. CN II (8)
- Optic nerve
- periorbital appearance and lacrymal appearance
- Ask patients to put glasses on
- Test visual neglect
- Test visual field
- Eye reflexes
- Accomodation
- Use Snellen chart
- Use Ishiguro plates
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5. CN III, IV, VI (4)
- (oculomotor, trochlear and abducens)
- Check eye position and symmetry
- Move 'H' shape without moving head
- Check for double vision and nystagmus
- Check horizontal and vertical saccades
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6. CN V (4)
- (trigeminal)
- Check sensory areas
- Motor branch
- Corneal reflexJaw jerk reflex
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7. CN VII (4)
- (facial)
- Raise eyebrows
- Scrunch up eyes
- Puff out cheeksshow teeth
- If in doubt, then do against resistance
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8. CN VIII (4)
- (vestibulocochlear)
- noticed any dizziness?
- Whisper a number with occlusion
- Weber's test (forehead)
- Rene's test
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11. CN XI (2)
- Accessory nerve
- Shrug shoulders against resistance
- Turn face against resistance
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12. CN XII (2)
- Hypoglossal nerve
- Tongue stuck out and wiggle
- Look for fasciculation
- If problem, then will deviate towards weak side
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To complete examination (1)
Examination of peripheral nerves
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