Final Comprehensive Head-to-Toe
COMPREHENSIVE HEAD TO TOE
IHUMAN LAURA WOOD CASE
STUDY REAL ONE WEEK 9 LATEST
23RD JULY UPDATE
1: Physical Exam: #1 - ANSWER-General
Survey: Documentation should contain a
statement regarding the patient's age, race,
sex, orientation to time, place, person;
overall appearance, whether or not they are
in distress; the examiner's opinion
regarding the patient's cognitive and
emotional status.
1: Physical Exam: #2 - ANSWER-General
appearance, skin, hands, fingernails,
toenails, color and pigmentation,
temperature, moisture, texture and turgor
are deliberately examined.
1: Physical Exam: #3 - ANSWER-Upper
and lower extremities are deliberately
palpated bilaterally using the dorsum of the
hand.
2: Head and Face: #1 - ANSWER-Entire
head, scalp and hair inspected. Hair should
be separated in at least three areas to
assess scalp.
Entire head is deliberately palpated.
2: Head and Face: #2 - ANSWER-Palpate
temporal arteries bilaterally
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
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)
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