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Exam (elaborations)

HUMAN COMPREHESIVE HEAD TO TOE LAURA WOOD EXAM (2025)

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1: Physical Exam: #1 - 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 - General appearance, skin, hands, fingernails, toenails, color and pigmentation, temperature, moisture, texture and turgor are deliberately examined. 1: Physical Exam: #3 - Upper and lower extremities are deliberately palpated bilaterally using the dorsum of the hand. 2: Head and Face: #1 - 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 - Palpate temporal arteries bilaterally 2: Head and Face: #3 - Maxillary and frontal sinuses are palpated (2pts) 2: Head and Face: #4 - Cranial nerve V (CN V) Palpate temporal and masseter muscles while patient clenches teeth. 2: Head and Face: #5 - Palpate temporomandibular joint while patient opens/closes mouth 2: Head and Face: #6 - 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 - 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.

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Uploaded on
June 28, 2025
Number of pages
14
Written in
2024/2025
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Laura wood


HUMAN COMPREHESIVE HEAD TO TOE
LAURA WOOD EXAM (2025)
1: Physical Exam: #1 - 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 - General appearance, skin, hands, fingernails, toenails, color and
pigmentation, temperature, moisture, texture and turgor are deliberately examined.


1: Physical Exam: #3 - Upper and lower extremities are deliberately palpated bilaterally
using the dorsum of the hand.


2: Head and Face: #1 - 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 - Palpate temporal arteries bilaterally


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


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


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




Laura wood

, Laura wood


2: Head and Face: #6 - 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 - 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 - 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


3: Eyes: #1 - Visual Fields - Peripheral vision (CN II) (nasal/temporal/superior/inferior)


3: Eyes: #2 - External Structures of the Right and Left Eye are inspected and verbalized
(6pts)

☐Eyebrows

☐Lashes & Lids

Laura wood

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