By Rubzzzz for Pediatric department in 3rd year

1. 3RD YEAR OF MEDICAL FACULTY
GROUP NO. 16, 1ST MEDICAL FACULTY
DEPARTMENT OF PEDIATRIC
NATIONAL UNIVERSIRTY O.O BOHOMOLETS
EXAMINATION OF REFLEX:
1. SIMPLEX REFLEX
SKIN REFLEX: Positive. Muscle movements.
MUCOUS : Tongue n swallowing reflex is normal.
EYE : Eye blinked.
2. TENDON REFLEX
WRIST : Positive and symmetrical reaction in both side.
KNEE : Positive and symmetrical reaction in both side.
ELBOW: Positive and symmetrical reaction in both side.
ANKLE : Positive and symmetrical reaction in both side.
3. CEREBRAL CORTEX. 12 CRANIAL NERVES
N. OLFACTORIUS : No disorder. By showing different kind of foods
with different kind of smells.
N. OPTICUS : No disorder. By moving a finger/pen to the left and
right where the pupil will move according to the
movement of the finger/pen.
N. OCULOMOTORIUS : No disorder. Test by light where pupil will be
dilated in both eyes.
N. TROCHLEAR : No disorder. By touching the eye lashes where the
eye blinked.
N. TRIGEMINUS : No disorder. Tactile of skin is symmetrically in both
side of the cheeks.
N. ABDUCENS : No disorder. Tested like in III nerve. Movement of
m. orbitalis superior and m.orbitalis inferior.
N. FACIALIS : No disorder. By mimics. Example: smile, cry,
cough
Symmetrically in both side of face.
N. VESTIBULARCOCHLEAR: No disorder. By asking the patient to stand straight
and try to touch the nose by closing the both eyes.
N. GLOSSOPHARYNGEAL : No disorder. Swallowing reflex by drinking water.
N. VAGUS : No disorder. By scratching the abdomen with pen
and redness appear and it’s symmetrically in both
side.

2. N. ACCESORIUS : No disorder. Symmetrically in both side. By moving
both hands from axillary’s line up to shoulder line.
90 degree.
N. HYPOGLOSSAL : No disorder. By sticking out tongue and see the
direction of the tongue whether it’s straight or
directed to the side.
4. MENINGEAL SIGN
RIGIDITY OCCIPITALIS : Negative. No pain when the patient move the head
towards the chest.
BABINSKOGO REFLEX : Negative. By pressing the middle line of feet where we
can see slow dorsal extension of big toe, II and V finger
move to different direction then the toe.
KERNIG’S REFLEX : Negative. By bending the leg in the knee and hip joints.
BRUDZINKI REFLEX :
a) UPPER REFLEX : Negative. By bending the patient’s head, leg will bend up
b) MIDDLE REFLEX : Negative. By pressing the pubis level, leg will bend up.
c) LOWER REFLEX : Negative. By pressing the one of the leg, another leg will
bend up.
QUESTIONS FOR DERMA SIGN.
A)
1. When the rash appeared?
2. Where/which part of the body the rash appeared?
3. How the rash spreads?
4. How much of elements? 2 elements or more?
5. Sensitivity? Itchiness, pain or burn?
6. Possibility of causes? Example: food or medication.
7. High fever? Example: Rubella, influenza, chicken pox, measles.
8. Contagious. Contacts and infections?
9. Was it 1st time or it’s happened before?
10. What kind of 1st aid been taken?
B) OBSERVATION:
Color of skin, edema, cyanosis, types of rash, inflammation or non inflammation,
capillary (broken or not).
C) PALPATION/EXAMINATION:
To see the density, pain or not, elasticity, soft or hard.