Cranial nerve exam template
Accreditation Council for Graduate Medical Education
Dec 07, 2020 · Examines a patient with positional dizziness and performs a complete cranial nerve and cerebellar exam, but fails to perform a Dix-Hallpike maneuver Level 3 Performs a relevant neurologic exam incorporating additional appropriate maneuvers
[DOC File]Dysmorphologychecklist - Texas
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Name: #: BD: / / Age: yrs m Dysmorphology Exam Examiner: Date / / Setting: Ht: ( %; 50th for age ) HR RR BP / Wt: ( %: 50th for age
[DOC File]LAB 4: NEURO
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Cranial Nerves: Olfaction (I) intact by identifying the smell of coffee grounds. Visual acuity (II) is good bilaterally with 20/20 vision on hand-held chart (while wearing his corrective lenses). Visual fields are full to confrontation in all quadrants. Pupils are equally round at 3 mm and reactive to light and accommodation.
[DOC File]NEUROSURGERY PRE-ASSESSMENT CLINIC PROFORMA
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Cranial Nerves: Right Left I Olfactory II Fundi Visual acuity Visual fields III IV VI Pupil size Direct Consensual Accommodation Eye movements V Motor Sensory Corneal reflex Always test corneal reflexes in ‘trigeminal’ patients VII Motor VIII Hearing IX X Gag reflex XI Shoulder shrug XII Tongue Neck movements: Upper Limbs: Right Left ...
[DOCX File]Joan C. Edwards School of Medicine - Marshall University
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Cranial nerve examination was normal. Upper limb motor, sensory and reflex functions were normal. With the patient in the supine position, static palpation revealed tender trigger points bilaterally in the cervical musculature and right trapezius.
[DOC File]History and Physical Exam Form
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Bladder Hip, buttocks, rectum, anus Piriformis GB 30 Sciatic nerve GB-20 GB-21 Bl-10 Screening Guidelines for Non-risk, Healthy Adults. Evaluation Guidelines- Non-risk, Healthy Adults Dates Performed Physical Health Exam Periodically Cholesterol Screening Every 5 years.
[DOCX File]Purpose
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Cranial nerve I (olfactory) If checked, complete the Loss of Sense of Smell and Taste DBQ in lieu of this Questionnaire. Cranial nerves II-IV. If checked, complete Eye DBQ . Cranial nerve V (trigeminal) Cranial nerve VII (facial) Cranial nerve IX (glossopharyngeal) Cranial nerve X (vagus) Cranial nerve XI (spinal accessory)
[DOC File]COMPLETE PHYSICAL EXAM ABBREVIATIONS:
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Vital Signs: T, HR, RR, BP, SPO2. SYSTEM. GEN: No acute distress, alert, awake, and oriented times 4 to name, place, time, purpose, Well developed well nourished
[DOCX File]Follow-up form
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Fundoscopic exam is benign; discs flat, venous pulsations are seen on the right. Visual fields are full to confrontation. EOMs are intact, PERRL, no nystagmus, no ptosis.
[DOCX File]Department of Emergency Medicine | University of Washington
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Physical Exam. Level 1 – one system. Level 2-3 – 2 systems. Level 4 – 5 systems. Level 5 – 8 systems. High Acuity caveat documentation-- it is acceptable to use these phrases when appropriate if you are unable to complete portions of the HPI or PE: unable to obtain history due to … unable to perform full exam due to … (crashed to OR ...
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