Inspect head for bumps, lesions, hair distribution, and parasites.
Inspect face for sensation (CN V [trigeminal]) and movement (VII [facial]).
Inspect external eyes for redness & discharge. Inspect pupil size and PERRLA (CN III
[oculomotor]).
Inspect extraocular muscle movements (CN III [oculomotor] IV [trochlear, VI [abducens).
Perform the confrontation test (CN II [optic]).
Inspect mouth - mucous membranes & general dentition condition, tongue midline, say “ah”-
uvula midline, observe swallow (CN lX [glossopharyngeal], X [vagus], & XII [hypoglossal])
Inspect nose for discharge, nasal patency, & deviations in shape.
Inspect ears for cerumen or other discharge in external canal, lesions & gross hearing (rub
fingers together by ear – CN VIII [acoustic])
Assess CN XI (shoulder shrug & turn head against resistance).
Palpate the following lymph nodes: submental, submandibular, tonsillar, preauricular,
postauricular, anterior cervical, posterior cervical, occipital, and supraclavicular.
Lymph Nodes
Preauricular, located in front of the ear.
Posterior auricular (mastoid), superficial to the mastoid process.
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