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HAVE THE PATIENT SHUT THE EYES AND BLOCK ONE NOSTRIL, HOLD AN ITEM SUCH AS GROUND COFFEE OR ORANGES UNDER THE PATIENTS NOSE AND ASK HIM WHAT IT IS. |
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SNELLEN CHART OR HAVE THE PATIENT READ ONE EYE AT A TIME **UNILATERAL BLINDNESS CAN INDICATE A LESION OR PRESSURE IN THE GLOBE OR OPTIC NERVE. LOSS OF THE SAME HALF OF THE VISUAL FIELD IN BOTH EYES (HOMONYMOUS HEMIANOPSIA) CAN INDICATE LESION OF THE OPPOSITE SIDE OPTIC TRACT AS IN A CVA. |
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EYE MOVEMENTS "H" PERRLA. A UNILATERALLY DILATED PUPIL |
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EYE MOVEMENTS 'H' PATTERN, PERRLA, EYELIDS. HAVE THE PATIENTS TURN EYES DOWNWARD, TEMPORALLY AND NASALLY. **IF THE PATIENT WILL NOT DO THIS THE PATIENT MAY HAVE A FRACTURE IN THE EYE ORBIT OR BRAIN STEM TUMOR.*** (NOTE CN 3,4,6 ARE EXAMINED TOGETHER BECAUSE THEY CONTROL EYELID ELEVATION, EYE MOVEMENT AND PAPILLARY CONSTRICTION. |
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FACIAL SENSATION, CORNEAL REFLEX MOTOR. PALPATE JAWS AND TEMPLES WHILE PATIENT CLENCHES TEETH. |
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TASTE, SMILE, FROWN, CLOSE EYES TIGHTLY, LIFT EYEBROWS, AND PUFF CHEEKS. AN ASYMMETRICAL DEFICIT CAN BE FOUND IN TRAUMA, BELL'S PALSY, CVA, TUMOR AND INFLAMMATION. |
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GAG REFLEX, SWALLOWING, TASTE, |
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STIMULATION OF THE VAGUS NERVE INCREASE GASTRIC SECRETION, BRADYCARDIA. GIVING AN ENEMA OR TAKING A RECTAL TEMPERATURE CAN STIMULATE THE VAGUS NERVE. |
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SHRUG SHOULDERS, TURN HEAD AGAINST RESISTANCE |
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STICK OUT TOUNGE, MOVE SIDE TO SIDE. **Wasting of tongue, deviation to one side, tremors, and an inability to distinctly say l, t, d, n sounds can indicate a lower or upper motor neuron lesion. ** |
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