FINAL COMPREHENSIVE HEAD TO TOE IHUMAN LAURA WOOD CASE STUDY REAL ONE WEEK 9 LATEST UPDATE 2024-2025

2: Head and Face: #3 - answer-Maxillary and frontal sinuses are palpated (2pts)

2: Head and Face: #4 - answer-Cranial nerve V (CN V) Palpate temporal and masseter muscles while patient clenches teeth.

2: Head and Face: #5 - answer-Palpate temporomandibular joint while patient opens/closes mouth

2: Head and Face: #6 - answer-CN V Observe and palpate temporomandibular joint while patient
1) opening and closing jaw widely
2) moving side to side
3) sticking jaw out all maneuversWith and
3: Eyes: #1 - answer-Visual Fields - Peripheral vision (CN II) (nasal/temporal/superior/inferior)

3: Eyes: #2 - answer-External Structures of the Right and Left Eye are inspected and verbalized (6pts)
☐Eyebrows
☐Lashes & Lids
☐Lacrimal Gland
☐Conjunctiva
☐Sclera
☐Cornea

3: Eyes: #3 - answer-Anterior Chamber of the Eye Assessed from the side using pen light (note corneal clarity/shape) ☐Right ☐Left

3: Eyes: #4 - answer-Corneal Light Reflex - Hirschberg Test - (CN III, IV, VI) (does light shine equally)

3: Eyes: #5 - answer-Pupillary reflexes (CN III, IV, VI) direct/ consensual/accommodation (testing is performed 3x)
DIRECT Assess both eyes separately for pupillary reflexes
☐Right ☐Left
Without against resistance of examiner's hand (3pts)

2: Head and Face: #7 - answer-CN V Test for light touch on face with wisp of cotton, comparing sides. Eyes should be closed. May do during neuro part of exam.

2: Head and Face: #8 - answer-Cranial Nerve VII (CN VII) Observe presence and symmetry of patient's facial muscle movements (7pts)
☐Close Eyes
☐Open Eyes Against Resistance
☐Frown
☐Lift Eye Brows
☐Puff Out Cheeks
☐Show Teeth
☐Smile


CONSENSUAL Assess both eyes separately for pupillary responses.
☐Right ☐Left

ACCOMMODATION Assess pupillary responses for near/far distance
☐Right ☐Left

3: Eyes: #6 - answer-Extraocular muscles (EOM) (CN III, IV, VI)
Six Cardinal Fields of Gaze

3: Eyes: #7 - answer-Fundi (CN II) is inspected using ophthalmoscope (5pts)
Examiner using correct eye/providing appropriate directions to the patient Yes/No

Lights off Yes/No

Examiner
☐Right Eye (Right Hand)/ No
☐Left Eye (Left Hand)/ No Students speak aloud

EXPECTED observations
☐Red Reflex
☐Vessels
☐Retinal Background
☐Disc
☐Macula

4: Ears: #1 - answer-Cranial nerve VIII (CN VIII) Whisper Test (2pts)
Examiner behind patient 3 feet Yes/No
Test one ear at a time ☐Right Ear ☐Left Ear
Pt puts finger in canal of ear not being tested- 3 different words for each side

4: Ears: #2 - answer-CN VIII Weber Test- held at top of forehead Yes/No
Correct tuning fork used 528? Yes/No
Tuning fork correctly activated Yes/No

No credit if tuning fork is banged on table/window sill!!