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INTRODUCTION - correct answer Hello my name is Kassandra Barron-Guzman and today i will be
doing the physical assessment for nr 509 and i'm Kaleb and I consent to the filming and
submission of this video to chamberlain college thank you first let me begin by doing an
environment scan all right now we can get started
Inspection - correct answer okay i'm going to begin by inspecting Kaleb i notice that his face
there's no obvious discolorations or lesions his head is symmetric and midline
palpating lymph nodes - correct answer i'll begin by palpating the lymph nodes Kaleb if you have
any tenderness as we go just let me know the pre-auricular in front of the ear the post auricular
behind the ear the occipital in the back of the head tonsiller submandibular and submental the
anterior cervical posterior cervical and the supraclavicular lymph nodes about the clavicle and i
don't notice any enlargements along those lymph nodes Kaleb did you have any tenderness no
okay good
cranial nerve 5 trigeminal - correct answer i'm gonna move on to test cranial nerve number five
the trigeminal nerve it does have a motor component so i'm going to place my hands on the
masseter muscle and ask Kaleb to clench his jaw for me good and there's good bilateral strength
there so the motor component is intact next the sensory portion of the trigeminal nerve i'm
going to ask you to close your eyes josh and let me know where i'm touching you forehead right
cheek left cheek nose chin good correctly identified all of those areas so the sensory portion of
the trigeminal nerve is intact
cranial nerve 7 facial nerve - correct answer we'll move on to the facial nerve which is cranial
nerve number seven i'm going to ask josh to perform a series of facial expressions first go ahead
and give me a big smile and i know that that is symmetric um frowned for me good raise your
eyebrows puff out your cheeks and pucker your lips okay all of those movements are symmetric
, ears - correct answer next i'm going to inspect Kalebs ears i notice that they are symmetric
there's no obvious lesions or um deformities and i'll begin by looking in the auditory canal with
my otoscope and as i do this i'm going to pull the pinna up and back to best visualize the canal
okay i see that the auditory canal is free from any redness or swelling there's no abnormal
discharge or cerumen obstructing the view and the tympanic membrane is a pearly gray with no
effusion in the middle ear and we'll repeat it on the other side again i will pull the pinna up and
back and looking at the auditory canal i still see that there is no redness there's no cerumen
there's no discharge or lesions and the tympanic membrane is a pearly gray with no effusion in
the middle ear good all right
palpating ears - correct answer next i will um palpate the pinna on each side for any tenderness
or nodules are you
kind of there all right and the tragus which is in front of the ears any tenderness there no and
no nodules that i feel there good
cranial nerve 8 acoustic nerve - correct answer next i will move on to assess cranial nerve
number eight which is the acoustic nerve and i will do this by i'm gonna ask Kaleb to cover his
left ear and i'm gonna whisper three words into his ear and Kaleb if you could just repeat those
for me one two three four five six good Kaleb correctly identified those words so cranial nerve
number eight is intact
eye inspection - correct answer next i will move on to inspect Kaleb eyes on either side i do
know that the conjunctiva is pink and moist the sclera is white and clear and
cranial nerve 2 optic nerve - correct answer i will begin assessing cranial nerve number two
which is the optic nerve we'll assess central vision first using the pocket smell and eye chart i'
going to stand six feet away and Kaleb i'm gonna ask you to cover one eye for me and read the
lowest line possible ltfph good and cover the other eye ltf ph now with both eyes ltfph perfect
Kaleb has 20 20 vision in his left and right eye and with both eyes
next i will assess for peripheral vision which is another component excuse me of optic nerve
which is cranial nerve number two i'm going to ask you to stand for me Kaleb and a little bit