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Comprehensive Head to Toe Exam iHuman case study 2024/2025

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Comprehensive Head to Toe Exam iHuman case study 2024/2025 Comprehensive Head to Toe Exam iHuman case study 2024/2025 Comprehensive Head to Toe Exam iHuman case study 2024/2025

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  • October 22, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Comprehensive Head to Toe iHuman case study
  • Comprehensive Head to Toe iHuman case study
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lectjoseph
Comprehensive Head to Toe Exam
iHuman case study 2024/2025
aspects of appearance and behavior to comment on - ANS -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 - ANS congruence with situation and aspect



aspects of the skull, scalp, and hair to comment on - ANS -contour

-lesions

-hair

-tenderness



CN VII (Facial) test - ANS 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 - ANS -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 - ANS -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 - ANS -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 - ANS -color

-edema



aspects of the lacrimal glands/sac to comment on - ANS -edema

-tenderness



CN II, III (optic, oculomotor) test - ANS -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 - ANS -corneal clarity

-pupillary size and shape

-pupillary reflex, direct, consensual, and afferent accommodation



CN III, IV, VI (oculomotor, trochlear, abducens) test - ANS -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 - ANS -conjugate or convergent gaze

-nystagmus, plane of movement



aspects to comment on during ophthalmoscopic exam - ANS -red reflex

-retinal color and lesions

-characteristics of blood vessels

-disc and physiologic cup characteristics

-macular characteristics



aspects to comment on regarding the pinna, tragus, and mastoid area of the ear - ANS -position

-deformities / lesions

-tenderness

-swelling



aspects to comment on during inspection of the auditory canal with otoscope - ANS -patentcy

-cerumen

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