BENJAMIN CAVILL I -HUMAN CASE

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BENJAMIN CAVILL I -HUMAN CASE

STUDY

WITH CORRECT SOLUTIONS.

aspects of appearance and behavior to comment on - correct answer- -dress, posture, grooming, hygiene -stature, build -nutritional state -degree of cooperativeness -state of distress -affect -eye contact -motor activity

aspects of mood to comment on - correct answer- congruence with situation and aspect

aspects of the skull, scalp, and hair to comment on - correct answer- -contour -lesions -hair -tenderness

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CN VII (Facial) test - correct answer- instruct patient to:

-frown -elevate forehead/raise eyebrows -clench and show teeth -smile -puff and blow out cheeks -close eyes firmly (try to open against resistance)

CN V (trigeminal) test - motor - correct answer- -place hands on patient's cheek's and temples -instructs patient to contract and relax masseter muscles by clenching teeth -tests strength by pushing down on the mandible against resistance

CN V (trigeminal) test - sensory - correct answer- -instructs patient to close eyes and say "now" when feeling cotton touch their face -use a light wisp of cotton over 3 nerve distributions bilaterally

aspects of the eyebrows, orbital areas, and eyelids to comment on - correct answer- -distribution of eyebrows -orbital edema, sagging tissue, lesions, nodules 2 / 3

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-ptosis -completeness of lid closure -erythema -discharge/tearing

aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - correct answer- -color -edema

aspects of the lacrimal glands/sac to comment on - correct answer- -edema -tenderness

CN II, III (optic, oculomotor) test - correct answer- -instructs patient to focus on a far fixed point, then on a near fixed point; observes pupillary response -inspects B/L eyes with pen light; observes pupillary response -performs swinging light test; observes pupillary response

aspects to comment on after CN II, III test - correct answer- - corneal clarity -pupillary size and shape

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