Scalp and skin around ears and occipital area are clean and free of lesions

Scalp and skin around ears and occipital area are

This preview shows page 2 - 4 out of 15 pages.

“Scalp and skin around ears and occipital area are clean and free of lesions.” -Inspect the face, nothing its expression and symmetry. Has person smile, frown, show teeth, puff cheeks, and then press person’s puffed cheek in. “Facial expression is appropriate to mood”, “mouth, eyes, eyebrows, and nose appear to be symmetrical midline.” - “Please smile for me. Frown. Show teeth. Puff your cheeks. Push cheeks.” - “ Patient’s cranial nerve VII is intact.” -Palpate the temporal artery bilaterally “I am going to palpate your temporal arteries - 2+, equal bilaterally” -Palpate the temporomandibular joint as the person opens and closes mouth several times. “Now I am going to assess your temporomandibular joint” “could you please open your mouth” (while touching the joint) “movement is smooth and even with no crepitus present.” -Palpate the maxillary and frontal sinuses. “Now I am going to use my thumbs to lightly press on your maxillary and frontal sinuses. Let me know if you have any pain or tenderness. Patient reports no pain or tenderness upon palpation.” “Moving onto your eyes” Eyes Have you noticed any changes in your vision lately? 2
Image of page 2

Subscribe to view the full document.

Final Head-to-toe Script! Any eye pain? Under normal light -Inspect the external structures of the eye, including the eyebrows, eyelids, and eyelashes. “Eyes are aligned normally in their sockets with no protrusion or sunken appearance. They appear moist and glossy.” “Eyebrows are present, blonde in color, and equal bilaterally. The move symmetrically as facial expressions changes and there is no presence of scaling or lesions.” Skin around eyes is intact without signs of redness, swelling, discharge, or lesions. Eyelashes are distributed evenly along the lid margins and curve outward.” -Inspect conjunctivae, sclerae, cornea and iris. Assess pupil size and shape. “Could you please look up for me” (Using the thumbs slide the lower lids down along the bony bone orbital trim.) “Conjunctivae in both eyes is clear and shows normal color of the structure below—pink over the lower lids, white over the sclera, iris is blue in color.” “There is no presence of swelling or lesions.” “Pupils appear round and of equal size bilaterally. Pupil size is___mm bilaterally in normal light.” Assess for the corneal light reflex in the same spot in both eyes at the same time. “Look straight ahead for me.” “Corneal light reflex is present and equal bilaterally.” Assess the six cardinal positions of gaze. Assess accommodation. “Keep looking straight ahead and follow my pen light with your eyes only.” “Patient is gaze is not delayed. Eyes move smooth and evenly.” “follow my pen light with your eyes. Eyes accommodate properly.” Perform vision test using Snellen eye chart.
Image of page 3
Image of page 4
  • Fall '16
  • pulse

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask bonus questions You can ask questions ( expire soon) You can ask questions (will expire )
Answers in as fast as 15 minutes