Examination - Cranial nerves.
Good morning Mr. Smith I am Dr. Munagapati senior house officer in the department of Medicine,
I am here to test your cranial nerves. Cranial nerves are 12 in number and they supply the head and
neck regions. During the examination I have to touch your face, but at any time of the examination
if you feel uncomfortable let me know. Shall we proceed with the examination?
(I smell) Are you able to smell and taste everything (VII sensory)?
Can you hear properly (VIII auditory)?
(II Acuity, visual field, direct and indirect light reflex & accommodation) Are you able to see clearly? Could you read this sentence? Testing Visual field: (Both eyes fixed and open and later with one eye closed). Are you able to see the finger flicking at the corner of the eye both on lateral and nasal sides? Please look at that object on the table, and now look at my finger near your nose? Now I am going to shine this torch into your eyes, is that all right?
(III, IV, VI Eye movements) I am going to move my finger horizontally and vertically, your eyes should follow my finger keeping your head steady.
(V Motor) screw your eyes tightly, open your mouth (jaw deviates to side of lesion), (V Sensory) corneal reflex.
(VII facial) raise your eyebrows, show me your teeth.
(IX & X gag reflex) say 'Ah'.
(XII tongue movements) please stick your tongue out (deviates to side of lesion).
(XI trapezii) lift your shoulders against resistance, turn your head left/right against resistance.
Thank you, Mr. Smith you have been very cooperative. I have tested all your cranial nerves and they are all right.