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HP Neuro Exam (Cranial Nerve (V (Trigeminal # (Motor (temporalis&…

- - - - Sensory
        
        Branches: V1 forehead/nose, V2 cheek, V3 chin/sideburns
      - Motor
        
        temporalis&masseter
        
        Corneal reflexes
  - - - extraocular move
        
        laterally, lateral rectus
        
        impinged in cavernous sinus infection #
  - - - Medial/Inferior extraocular Movement
        
        superior oblique
        
        mal-fx diplopia #
        
        pituitary tumor impinges optic chiasm
  - - - Smile, frown, puff out cheeks, eye open
      - Bell's Palsy idiopathic
  - - - extraocular movements
        
        inferior oblique
        
        rectus: medial, superior, inferior
      - Pupillary Reactions #
      - Keeps eye open, no ptsosis
        
        Ptosis-intracranial pressure
  - - - whisper test
  - - - visual acuity& fields & ocular fundi
        
        wiggle fingers in H shape
  - - - AAAA-uvula, gag #
        
        uvula points to unaffected side
  - - - tongue out deviates to weak side
  - - - shrug shoulders-trap
      - resist internal rotation face SCM
- - - - stretches meninges
      - Nuchal rigidity +
    - - flex neck
        
        hips & knees flex + normal is to relax
    - - flex hip & knee, then straighten
        
        Pain on extension +
  - - - Raise relaxed leg-hip flexion then dorsiflex
      - Pain shooting down leg (not just back)
- - - - 3+ to 4+
      - Chvostek's sign: cheek twitching
      - +Trouseau's sign: hand close w/ bp cuff occluding
      - Ankle Clonus #
        
        shake foot then push into dorsiflexion w/o warning, feeling for reflex
        
        UMN damage is >4 plantar flexions
    - - 1+ to 0
    - - May need them to flex so you can find it
  - - - Toes curl in adult
      - toes extend in 0-2 years