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Cranial Nerve I: Olfactory Test - answer-test sense of smell with familiar odor
Cranial Nerve II: Optic Test - answer-test visual acuity and visual field with
confrontation
Confrontation Test - answer-gross measure of peripheral vision
-stand 2 fett from person
-have patient cover one eye, then cover your own eye opposite to the persons
covered one
-hold finger as target midline between you and patient, slowly advance to
periphery
-as person to say "now" as target is first seen
,cluster headache - answer-rare HA, intermittent, excruciating , unilateral,
always one sided, often behind or around eye, temple, forehead, cheek,
continuous, burning or piercing
Parkinsons syndrome facial appearances - answer-immobility of features
produces face that is flat, expressionless, "MASK LIKE" with elevated eyebrows,
staring gaze, oily skin, drooling
Cushing syndrome facial appearances - answer-rounded "MOONLIKE" face,
prominent jewels, red cheeks and chin, acneiform rash on chest
Graves disease facial appearance - answer-(hyperthyroidism) goiter, eyelid
retraction and exophthalmos (bulging eyeballs)
Hypothyroidism (myxedema) - answer-puffy, edematous face, periorbital
edema, puffy hands feet, coarse face feature, cool dry skin, coarse hair and
eyebrow
bells palsy facial appearance - answer-complete paralysis of one side of face,
person cannot wrinkle forehead, raise eyebrows, close eyelids, whistle or show
teeth on left side. usually presents w smooth forehead, wide palepral fissure
stroke (brain attack/cerebrovasular accident) facial appearance - answer-note
paralysis of lower facial muscle but also note the upper half of the face is NOT
affected, person is able to wrinkle forehead and close eyes
cachet appearance - answer-sunken eyes, hollow cheeks and exhausted
defeated expression
, scleroderma - answer-"hard skin". a chronic connective tissue disorder
associated with decreased mobility
strabismus - answer-crossed eyes
diplopia - answer-double vision
what do normal conjunctiva look like - answer-clear and show normal color,
pink lower ids and white sclera
normal eye appearance in African Americans - answer-have gray/blue or
darker color to sclera, normally my see small brown macule (like freckles) on
sclera
-may have yellowish fatty deposits beneath lids away from cornea
esotropia - answer-inward turning of the eye
exotropia - answer-outward turning of the eye
periorbital edema - answer-edema around the eyes
exophthalmos - answer-protruding eyeballs
Enophthalmos - answer-sunken eyes