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Unformatted text preview: Head and Facial Injuries-Assessment Review-ABC’s-Airway-Breathing-Circulation-R/o associated cervical spine injury History-Unusual sensations-Tinitis, dizziness, nausea, headache, loss of consciousness-Level of consciousness Level of Consciousness-Person-Place-Self-Time-Memory of what happened (MOI)-Retrograde amnesia (forget events prior to injury)-Post traumatic memory loss-Irritability-Ability to respond-Dazed/confused/restless-Loss of emotional control Inspection-Bleeding, deformity, swelling-PEARL- Pupils equal and reactive to light-Otorrhea/rhinorrhea- blood of CSF in ear or nose-Nystagmis- eye not tracking correctly-Battle Sign- discoloration behind ear due to basilar fracture (fracture of base of skull)-Raccoon Eyes- anterior cranial fracture Palpation-Swelling-Point tenderness-Deformity Special Tests-Romberg (balance)- feet together, hands out, close eyes and tilt head back-Stork stand or heel to toe walk-Finger to nose-BP (increased systolic or diastolic indicates increased intracranial pressure)-Simple math-Cervical AROM-Upper extremity strength and sensation Cranial Nerves I-Olfactory- sense of smell II-Optic-Vision III-Oculomotor- eye movement IV-Trochlear-eye movement V- Trigeminal- jaw movement VI- Abducens- lateral eye movement...
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This note was uploaded on 03/20/2008 for the course EXSS Adv P&c taught by Professor Matheny during the Fall '07 term at Ithaca College.
- Fall '07