This document summarizes the assessment of the 12 cranial nerves by Dr. T on May 5, 2021. It outlines the specific tests to evaluate each cranial nerve including tests of smell, vision, eye movement, facial expression, hearing, balance, swallowing, speech and tongue movement. Tests include checking pupil response, visual acuity, color vision, visual fields, smell, facial expression, eye and tongue movement, hearing, balance, gag reflex, swallowing and tongue and shoulder movement. The goal is to fully assess the function of each cranial nerve through a standardized exam.

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CRANIAL NERVE ASSESMENT BY DR T 05052021
Olfactory
1. Askany smell changes
2. Teston smell
a. Close 1 nostril
b. Close eye
c. Repeattestothernostril
Optic
1. Pupil- inspection,directlightreflex,indirectlightreflex
2. Visual acuity
a. Distant- wearspectacle if has/3meterwithmirrorcukup(6 metertak possible in
exam)
b. Near– wearspectacle if has
3. Colourvision- isiharachart
4. Visual field(wiggle jari je,nakgunaredpinbolehjuga/mesti midline antarayouandpatient)
a. Each eye ada approach 4 quadrant
b. Do bothside (total 8 quadrant) and cover1 eye whenconducttest
5. Fundoscopy(insummarytengokfor)
a. Opticdisc
b. Vessel (arteryandvein)
c. Papilledema
d. Opticneuritis
e. Opticatrophy
f. Macula
Occulomotor,trochlearandabducens (jarak30-40cm)
1. Instruct
a. Followmyfinger
b. Tell if ada double vision
2. Observe
a. Nystagmus
b. Synchronizedeye movement
3. Buat H shape
a. Kalauada ptosis,andada
dilatedpupil,lookforlocal sign
such as surgical scar
b. Bezaantara ptosissebab
medical cause andsurgical
cause!
4. Accommodationreflex

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Trigeminal
1. Sensory(patientakanjawab- 1.Yes,2. bilaterally
equal)- pastikansteriletestkit!
a. Tahu divisionv1,v2,v3
b. Lighttouch- just dabsekali,noswipe!
c. Pain-gunalidi macamortho,sensoryreference
to sternum
d. Tongue sensation, gunalidi biasaje,testkanan
dan kiri lidahsekali je
2. Motor (masticationmuscle- M,P,T)
a. Minta patientclench(masseter,temporalis)
b. Minta patientbukamulutandsee anydeviation
c. Andmintapatientopenjaw againstresistant
3. Reflex
a. Jaw jerk
b. Corneal test
Facial
1. Facial expression
a. Look up
b. Close eye
c. Nasolabial fold
d. Showteeth
2. Taste tongue ant 2/3
3. UMN and LMN palsy
a. Thenexamine upperandlowerlimbalso
b. KalauLMN
i. Cari othercause than bell palsy
1. Ramsayhunt
2. Palsyof 5th
, 6th
, 7th
, 8th
nerve
3. Cerebellarinvolvement
4. Parotidmass
5. Scar over cheek
6. Otitismedia
Vestibulocochlear
1. Hearing
a. Whisperingtest
b. Rinne andweber(tahubetul detail,drthairsuka!)
2. Balance (rujukdhingraent,chap;assessmentof vestibularfunction)
a. Rhombergtest
b. Sharpened rhombergtest

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Glossopharyngealandvagus
1. Askswallowproblem
2. Listentospeech
3. Test
a. Gag reflex
b. Uvuladeviation
Hypoglossal
1. Inside mouth
a. Wasting,fasciculation
b. Pushagaintcheekand withresistant
2. Protrude
a. Deviation
Spinal accessory
1. Sternocleidomastoid muscle
a. Pressagaintresistance (hand),thenpalpatescmmuscle
2. Trapeziusmuscle
a. Shrug shoulder