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Olfactory
Smell
ask client to close eyes and ID smells
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Optic
Vision and Visual Fields
Snellen Chart, check V Fields by confrontation and ophthalmoscopic exam
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Occulomotor
Extraocular eye movement, Sphincter of Pupil, Ciliary muscles of lens
Assess 6 movements and pupil reaction
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Trochlear
moves eye downward and laterally
assess 6 ocular movements
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Trigeminal
Function
Sensation of cornea, Skin of Face, Nasal Mucosa
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Trigeminal- Ophthalmic branch
Assessment
- while client looks up lightly touch lateral sclera with sterile gauze to elicit blink reflex
- light sensation/ have client close eyes wipe cotton over forehead and paranasal sinuses
- deep sensation/safety pin alternate sharp and blunt over forehead and paranasal
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Trigeminal - Maxillary Branch
Function
Sensation of Skin of face and anterior oral cavity
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Trigeminal Maxillary Branch
Assessment
Assess skin sensation using safety pin alternating sharp and blunt over forehead and paranasal
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Trigeminal Mandibular Branch
Function
Muscle of Mastication, sensation of the skin of the face
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Trigeminal Mandibular Branch
Assessment
ask client to clench teeth
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Abducens
Function and assessment
moves eyeball laterally
assess directions of gaze
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Facial
Function and assessment
Facial Expressions, taste anterior 2/3 of tongue
raise eyebrows, puff cheeks, close eyes tight, ID tastes
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Vestibulococchlear
Equlibrium and hearing
- Romberg Test
- clients ability to hear spoken words and tuning fork
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Glossopharyngeal
Swallowing, tongue movement, taste front 1/3 of tongue
taste ID, move tongue side to side and up and down
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Vagus
sensation of pharynx and larynx, swallowing and vocal cord
assess speech for hoarsness
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Accessory
head movement, shrugging of shoulders
have client shrug shoulders against resistance, turn head side to side against resistance
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Hypoglossal
Protrusion of tongue, moves tongue up and down and side to side
have client move tongue side to side up and down and stick it out
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