BENJAMIN CAVILL I-HUMAN CASE STUDY -2025
Aspects of appearance and behavior to comment on - Answer --dress, posture,
grooming, hygiene
-stature, build
-nutritional state
-degree of cooperativeness
-state of distress
-affect
-eye contact
-motor activity
Aspects of mood to comment on - Answer -congruence with situation and aspect
Aspects of the skull, scalp, and hair to comment on - Answer --contour
-lesions
-hair
-tenderness
CN VII (Facial) test - Answer -instruct patient to:
-frown
-elevate forehead/raise eyebrows
-clench and show teeth
-smile
-puff and blow out cheeks
-close eyes firmly (try to open against resistance)
CN V (trigeminal) test - motor - Answer --place hands on patient's cheek's and temples
-instructs patient to contract and relax masseter muscles by clenching teeth
-tests strength by pushing down on the mandible against resistance
CN V (trigeminal) test - sensory - Answer --instructs patient to close eyes and say
"now" when feeling cotton touch their face
-use a light wisp of cotton over 3 nerve distributions bilaterally
Aspects of the eyebrows, orbital areas, and eyelids to comment on - Answer --
distribution of eyebrows
-orbital edema, sagging tissue, lesions, nodules
-ptosis
-completeness of lid closure
-erythema
-discharge/tearing
Aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - Answer
--color
-edema
, Aspects of the lacrimal glands/sac to comment on - Answer --edema
-tenderness
CN II, III (optic, oculomotor) test - Answer --instructs patient to focus on a far fixed
point, then on a near fixed point; observes pupillary response
-inspects B/L eyes with pen light; observes pupillary response
-performs swinging light test; observes pupillary response
Aspects to comment on after CN II, III test - Answer --corneal clarity
-pupillary size and shape
-pupillary reflex, direct, consensual, and afferent accommodation
CN III, IV, VI (oculomotor, trochlear, abducens) test - Answer --have patient follow pen
with eyes without moving their head
-six cardinal fields of gaze
Aspects to comment on when testing CN III, IV, and VI - Answer --conjugate or
convergent gaze
-nystagmus, plane of movement
Aspects to comment on during inspection of the auditory canal with otoscope - Answer
--patentcy
-cerumen
-erythema
-discharge
Aspects to comment on during inspection of the tympanic membranes with otoscope -
Answer --tympanic membrane color
-transparency
-contour
-light reflex
-perforations
CN VIII (acoustic/vestibulocochlear) test / Whisper Test - Answer --instruct patient to
occlude one ear
-stand behind patient and whisper a 2-syllable word
-have patient repeat whispered word
Aspects to comment on during ophthalmoscopic exam - Answer --red reflex
-retinal color and lesions
-characteristics of blood vessels
-disc and physiologic cup characteristics
-macular characteristics
Aspects of appearance and behavior to comment on - Answer --dress, posture,
grooming, hygiene
-stature, build
-nutritional state
-degree of cooperativeness
-state of distress
-affect
-eye contact
-motor activity
Aspects of mood to comment on - Answer -congruence with situation and aspect
Aspects of the skull, scalp, and hair to comment on - Answer --contour
-lesions
-hair
-tenderness
CN VII (Facial) test - Answer -instruct patient to:
-frown
-elevate forehead/raise eyebrows
-clench and show teeth
-smile
-puff and blow out cheeks
-close eyes firmly (try to open against resistance)
CN V (trigeminal) test - motor - Answer --place hands on patient's cheek's and temples
-instructs patient to contract and relax masseter muscles by clenching teeth
-tests strength by pushing down on the mandible against resistance
CN V (trigeminal) test - sensory - Answer --instructs patient to close eyes and say
"now" when feeling cotton touch their face
-use a light wisp of cotton over 3 nerve distributions bilaterally
Aspects of the eyebrows, orbital areas, and eyelids to comment on - Answer --
distribution of eyebrows
-orbital edema, sagging tissue, lesions, nodules
-ptosis
-completeness of lid closure
-erythema
-discharge/tearing
Aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - Answer
--color
-edema
, Aspects of the lacrimal glands/sac to comment on - Answer --edema
-tenderness
CN II, III (optic, oculomotor) test - Answer --instructs patient to focus on a far fixed
point, then on a near fixed point; observes pupillary response
-inspects B/L eyes with pen light; observes pupillary response
-performs swinging light test; observes pupillary response
Aspects to comment on after CN II, III test - Answer --corneal clarity
-pupillary size and shape
-pupillary reflex, direct, consensual, and afferent accommodation
CN III, IV, VI (oculomotor, trochlear, abducens) test - Answer --have patient follow pen
with eyes without moving their head
-six cardinal fields of gaze
Aspects to comment on when testing CN III, IV, and VI - Answer --conjugate or
convergent gaze
-nystagmus, plane of movement
Aspects to comment on during inspection of the auditory canal with otoscope - Answer
--patentcy
-cerumen
-erythema
-discharge
Aspects to comment on during inspection of the tympanic membranes with otoscope -
Answer --tympanic membrane color
-transparency
-contour
-light reflex
-perforations
CN VIII (acoustic/vestibulocochlear) test / Whisper Test - Answer --instruct patient to
occlude one ear
-stand behind patient and whisper a 2-syllable word
-have patient repeat whispered word
Aspects to comment on during ophthalmoscopic exam - Answer --red reflex
-retinal color and lesions
-characteristics of blood vessels
-disc and physiologic cup characteristics
-macular characteristics
