Clinical Examination – Cranial nerves I-VI (lower cranial nerves)



hello my name is Alan Khan I'm a medical student when asked to conduct a cranial nerve examination you is that okay yeah fantastic can I confirm your name and date of birth please sir my name is Aidan cross and spoon 20th book to every night's meeting okay so the examination will involve me assessing the nerves that control the muscles your face and neck will that be okay yes fine fantastic give any pain anywhere oh no okay chemical you Aidan oh yes fantastic number attest your sense of smell let me know any change in your sense of smell recently no no okay fantastic can you cover your left nostril for me and blow out and the same feel right nostril please and okay can you close eyes for me covering your left nostril tell me if you can smell this please coffee fantastic and the same with other nostril smoking you smell yes my coffees are fantastic and relax okay next on a test your vision okay do to me wear glasses or contacts no okay okay so behind me there's a chart can you read the lowest level for me please you a C and as DT fantastic relax next I'm gonna shine a light into your eye key look directly at my nose and come bit closer and directly at me okay okay fantastic next key look straight ahead yeah and I'm with my fingers in front of you and look at my fingers now et okay okay look why fingers and right flip forward again great next we assess your visual field if you can cover one eye for me and with that I'll be moving my finger around or she focus your gaze at me just let me know when you can see my finger okay okay fantastic let me know when you can see my finger yeah I can see fantastic I can do I can see see I can see you I can see it I can see yeah I can see it fantastic on the same with the other eye please okay let me know when you see it yeah I can see it I can see it I can see it I can see it I can see I can see I can see and I can see great we're now going to set your blind spot okay this involved me moving the stick whilst you focus your gaze at me okay as I move it around in your field of vision the tip should disappear all right and this occurs let me know okay yeah fantastic if you can cover your left eye from a place and move a bit closer instead we know what it disappears okay it's gone and when it reappears okay you can see it you can see it I can see it I can see it again fantastic and the same with the other eye place just focus on me okay let's go wait it reappears I can see it I can see it I can see it and I can see it again fantastic relax next we're going to look at the back of your eye because involved me showing a bright bite into it and coming quite close to you will that be okay yes when Pat a stick okay if you can come close me please okay look out for me please and look down look left and right great and the same design but for me look down for me look left and look right and straight ahead we're now going to set your blind spot okay this will involved me moving the stick whilst you focus your gaze at me okay as I move it around in your field of vision that tip should disappear all right and this occurs let me know okay yeah plastic if you can cover your left eye for me please and move a bit closer instead we know what it disappears okay it's gone and when it reappears okay I can see it I can see it I can see it I can see it again fantastic and the same with the other eye place just focus on me okay it's gone when it reappears I can see it I can see it I can see it I can see it again fantastic relax we're now going to assess the movements of the eye this will involve you looking at my finger as I move it if you can keep your head straight and let me know any when you see double vision that's okay in double vision know any double vision any double vision hmm and or VIN and in double vision know any double vision double vision and end up a vision there fantastic I'm gonna have a look at the muscles of your face and those it's that okay yes right this will involve me just touching parts of your face with this okay okay it should feel like this yeah okay first can you close your eyes me please and let me know me can you feel it yep yep yeah yeah yeah fantastic and relax I'm gonna polish to your eye okay it may cause your blink if you look to your left necklace it might nice and wide my filters okay

44 comments

  1. Doctor: Have you noticed any change in your sense of smell recently?
    Patient: Yes, just now when I caught a whiff of your sandwich breath.

  2. How did that guy not even look at the popiscle stick? I’d be staring it down the moment the doctor told me to say when it disappears

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