Note whether hair shafts are broken off or absent 5) Genetically predisposed men = gradual, symmetric hair loss on scalp during adulthood a. Response to androgens 6) Asymmetric hair loss = ?pathologic condition 7) Women in 20s and 30s can develop adrenal androgenic alopecia a. Gradual loss of hair from central scalp 8) Male pubic hair configuration – upright triangle, extends midline to umbilicus 9) Female pubic hair configuration – inverted triangle, may extend midline to umbilicus 10) Assess for hirsutism in women (growth of terminal hair in a male distribution pattern on face, body, pubic) a. Hirsutism may be a sign of an endocrine disorder Assessment of Head, Neck, Eyes, Ears, Nose, and Throat 25.Cranial Nerves associated with the HEENT system • God gave you 1 nose (Olfactory) and 2 eyes (Optic). Nerves 3,4, and 6 make your eyes do tricks (3 Occularmotar, 4 Trochlear, and 6 Abducens). FIVE rhymes with TRI (5 Trigeminal). 7 is like an "F" backwards (F for Facial). 8 looks like earrings (8 Vestibulocochlear (Auditory)). "9 and10, under my chin" (IX Glossopharyngeal (Swallowing, saliva, taste), X Vagus (Control of PNS e.g. smooth muscles of GI tract) (just check gag reflex), 12 for swallowing (XII Hypoglossal (Tongue muscles - speech & swallowing)), and the number 11 looks like the neck (XI Accessory (Moving head & shoulders). • In the pic of the face attached, each part of the number 5 the crosses the face (3 lines) corresponds with the first, second, and third segments of the Trigeminal nerve (Forhead, maxila and mandible). • Here is a quick, meat and potatoes crainial nerve assessment video that is to point: As the video suggests, the 1st crainial nerve is not tested during routine exam, but you could blindfold the patient and hold coffee, alchohol, etc under the nose and test like you would a taste for sugar and salt.
Now, to remember the order, a "clean" acronym for remembering the crainial nerve order would be, "Oh Oh Oh To Touch And Feel Very Good Velvet, Such Heaven." Take the first letter of this acronym for the order of the nerves. There is another acronym that helps you determine whether the nerve is sensory, motor, or both. This acronym is, "Some Say Marry Money But My Brother Says Big Brains Matter Most." Where S=Sensory, M=Motor, and B=Both. I. Olfactory Smell, sensory II. Optic Vision, sensory III. Oculomotor Pupil, motor IV. Trochlear Lateral/inferior eye movement, motor V. Trigeminal Face feeling, chewing, sensory/motor VI. Abducent Lateral eye movement, motor VII. Facial Expressions (motor), taste (sensory) VIII. Vestibulocochlear Hearing and balance, sensory IX. Glossopharyngeal Swallowing (motor), taste (posterior/sensory) X. Vagus Heart, dig, respiratory (motor) / respiratory, voice, dig, (sensory) XI. Spinal Accessory Sternocleidomastoid, trapezius (motor) XII. Hypoglossal Muscle of tongue (motor) No automatic alt text available.
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