Final comprehensive Head-to-Toe COMPREHENSIVE HEAD TO TOE I HUMAN LAURA WOOD CASE STUDY REAL ONE WEEK 9 LATEST 23RD JULY UPDATE : Physical Exam: #1 - correct answerGeneral Survey: Documentation should contain a statement regarding the patie

Final comprehensive Head-to-Toe COMPREHENSIVE HEAD TO TOE I HUMAN LAURA WOOD CASE STUDY REAL ONE WEEK 9 LATEST 23RD JULY UPDATE 1: Physical Exam: #1 - correct answerGeneral 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 - correct answerGeneral appearance, skin, hands, fingernails, toenails, color and pigmentation, temperature, moisture, texture and turgor are deliberately examined. 1: Physical Exam: #3 - correct answerUpper and lower extremities are deliberately palpated bilaterally using the dorsum of the hand. 2: Head and Face: #1 - correct answerEntire 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 - correct answerPalpate temporal arteries bilaterally 2: Head and Face: #3 - correct answerMaxillary and frontal sinuses are palpated (2pts) 2: Head and Face: #4 - correct answerCranial nerve V (CN V) Palpate temporal and masseter muscles while patient clenches teeth. 2: Head and Face: #5 - correct answerPalpate temporomandibular joint while patient opens/closes mouth 2: Head and Face: #6 - correct answerCN 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 - correct answerCN 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 - correct answerCranial 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 3: Eyes: #1 - correct answerVisual Fields - Peripheral vision (CN II) (nasal/temporal/superior/inferior) 3: Eyes: #2 - correct answerExternal Structures of the Right and Left Eye are inspected and verbalized (6pts) Eyebrows Lashes & Lids Lacrimal Gland Conjunctiva Sclera Cornea 3: Eyes: #3 - correct answerAnterior Chamber of the Eye Assessed from the side using pen light (note corneal clarity/shape) ☐Right ☐Left 3: Eyes: #4 - correct answerCorneal Light Reflex - Hirschberg Test - (CN III, IV, VI) (does light shine equally) 3: Eyes: #5 - correct answerPupillary reflexes (CN III, IV, VI) direct/ consensual/accommodation (testing is performed 3x) DIRECT Assess both eyes separately for pupillary reflexes Right ☐Left CONSENSUAL Assess both eyes separately for pupillary responses. Right ☐Left ACCOMMODATION Assess pupillary responses for near/far distance Right ☐Left 3: Eyes: #6 - correct answerExtraocular muscles (EOM) (CN III, IV, VI) Six Cardinal Fields of Gaze 3: Eyes: #7 - correct answerFundi (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