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    Cranial Nerves 5 TH and 7th

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    Monia one which
    The document summarizes a cranial nerves examination focusing on the 5th and 7th cranial nerves. The examiner inspects the patient's face for symmetry, performs sensory tests on the trigeminal nerve branches, and tests the motor function of the facial nerve by having the patient raise eyebrows, close eyes, show teeth, and puff cheeks. Upon finding right facial palsy and trigeminal palsy, the examiner comments that the asymmetrical face and lesions on the same side indicate a lower motor neuron lesion of the 7th nerve likely due to a history of acoustic neuroma surgery, as evidenced by a post-auricular scar.

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    Cranial Nerves 5 TH and 7th

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    Monia one which
    10 views2 pages
    The document summarizes a cranial nerves examination focusing on the 5th and 7th cranial nerves. The examiner inspects the patient's face for symmetry, performs sensory tests on the trigeminal nerve branches, and tests the motor function of the facial nerve by having the patient raise eyebrows, close eyes, show teeth, and puff cheeks. Upon finding right facial palsy and trigeminal palsy, the examiner comments that the asymmetrical face and lesions on the same side indicate a lower motor neuron lesion of the 7th nerve likely due to a history of acoustic neuroma surgery, as evidenced by a post-auricular scar.

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    The document summarizes a cranial nerves examination focusing on the 5th and 7th cranial nerves. The examiner inspects the patient's face for symmetry, performs sensory tests on the trigeminal nerve branches, and tests the motor function of the facial nerve by having the patient raise eyebrows, close eyes, show teeth, and puff cheeks. Upon finding right facial palsy and trigeminal palsy, the examiner comments that the asymmetrical face and lesions on the same side indicate a lower motor neuron lesion of the 7th nerve likely due to a history of acoustic neuroma surgery, as evidenced by a post-auricular scar.

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    © All Rights Reserved
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    10 views2 pages

    Cranial Nerves 5 TH and 7th

    Uploaded by

    Monia one which
    The document summarizes a cranial nerves examination focusing on the 5th and 7th cranial nerves. The examiner inspects the patient's face for symmetry, performs sensory tests on the trigeminal nerve branches, and tests the motor function of the facial nerve by having the patient raise eyebrows, close eyes, show teeth, and puff cheeks. Upon finding right facial palsy and trigeminal palsy, the examiner comments that the asymmetrical face and lesions on the same side indicate a lower motor neuron lesion of the 7th nerve likely due to a history of acoustic neuroma surgery, as evidenced by a post-auricular scar.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    Dr.

    saif darif 2022

    Cranial nerves examination 5th & 7th F MP P


    Intro 0 1/2 1
    Washes hands.
    Hello’ (introduction and gains consent)
    Exposure & Lighting
    setting on bed.
    asks if the patient is in any pain
    Inspection: start From end of bed 0 1 2
    Symmetry of face
    Absent of frontal wrinkles
    Deviation of mouth Or Depression of angle of mouth
    Flattening of nasolibial fold
    Wasting of mastication muscles ( prominence of zygomatic arch)
    5 th 0 1 2
    trigeminal nerve (motor and sensory):
    Tests sensation in three areas supplied by branches V1, V2 and V3 (light touch).
    Opens the patient’s mouth against resistance and moves it from side to side
    (pterygoids).
    Feels the temporalis and masseter muscles while the patient clenches their teeth.
    Jaw jerk ( ask pt to elevate his tounge )
    says that you have to do corneal reflex (wisp of cotton on the sclera of the eye – both
    eyes should blink)
    7th 0 2 4
    facial nerve (motor and sensory):
    • Asymmetry – look for a Bell’s palsy
    • Is the forehead spared?
    • Asks the patient to raise their eyebrows and shut their eyes tight against resistance
    • Asks them to show their teeth
    • Asks them to puff out their cheeks
    • Taste in anterior two-thirds of the tongue & tears .
    Examiner ( ask about muscles name )

    I would like to examine behaind ear for ( tenderness , scars , bleeding ) 0 2 4


    I would like to examine ear ( OM , here’s zoster , hearing )
    Examine for any patois mass or scars .
    I would like to examine another cranial nerves and cerebellum
    Thanks patient & help patient get dressed
    Differences between UMNL & LMNL of facial nerves ? Why ? 0 2 4
    Causes of LMNL of 7th nerve ?
    Causes of absent corneal touch reflex

    Comment ( findings ) 0 2 4
    Dr.saif darif 2022

    Pt face looks asymmetrical there is


    Right facial palsy (LMNL ) the lesion in same side
    There is scar post auricular ( neurosurgical scar ) acoustic neuroma surgery.
    There is right Trigminal palsy LMNL

    What are the branches of facial nerve ? 0 2 4

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