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Testing CN 5 - Trigeminal •Sensory: •Ask pt to close eyes •Touch ea of 3 areas (ophthalmic, maxillary, & mandibular) lightly, noting whether patient detects stimulus. •Motor: •Palpate temporalis & mandibular areas as patient clenches & grinds teeth •Corneal Reflex: •Tease out bit of cotton from q-tip - Sensory CN 5, Motor CN 7
General inspection. 9. Perform a brief general inspection, looking for clinical signs suggestive of underlying pathology. Olfactory nerve (CN I) 10. Ask the patient if they have noticed any recent changes to their sense of smell.
Hearing is first tested in each ear by whispering something while occluding the opposite ear. Any suspected loss should prompt formal audiologic testing to confirm findings and help differentiate conductive hearing loss from sensorineural hearing loss.
5 gru 2013 · However, a systematic and consistent approach allows a complete and thorough examination to be performed in a timely manner. The authors present an overview of each cranial nerve with a concise summary of examination techniques.
IX, X – Glossopharyngeal, Vagus. Assess speech quality and volume for hoarseness and quietness (dysarthria, dysphonia) Ask the patient to open their mouth and say ‘Ahhhh’ (look palatal asymmetry and uvular deviation away from side of lesion) Offer to test left and right gag reflex separately
To test the function of the trigeminal nerve, assess the sensation to pain by performing a pinprick test on the patient’s face, using a new, clean, disposable safety pin or similar object.
CN VIII Whisper into ear, distracting sound in opposing ear Rinne's and Weber's test (if hearing loss suspected) CN IX and X Ask the patient to cough Assess the palate and posterior pharyngeal wall CN XI Sternocleidomastoid assessment Trapezius assessment CN XII Inspect the tongue Protrude the tongue and move from side to side
