A cranial nerve examination systematically tests the 12 pairs of cranial nerves through various assessments including visual acuity testing, eye movement evaluation, pupillary response, visual field testing, hearing assessment, and sensory testing for smell, taste, and temperature sensitivity to evaluate neurological function.
Deep Dive
Prerequisite Knowledge
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Deep Dive
asmr ~ thorough cranial nerve exam 👩⚕️🩺 | soft spoken lofi rpAdded:
Hello and welcome into the doctor's office.
Um can I please have your name and your date of birth?
Thank you.
Let's see here.
Okay, so you are not in the system currently. Are you a new patient at this office?
You are? Okay. No worries. I just need some additional information for your profile.
Okay, let's see. Let's see.
Can I have your address?
Thank you.
Can I also have your social security number?
Okay.
Okay.
And can you please tell me a good email address for you?
Okay.
And I also need a phone number that we can reach you on.
Okay.
Thank you.
Let's see. Okay.
So you're now in the system and Okay, now just sit and wait and your doctor will be with you very soon. Okay?
Hello, I'm Dr. Blomst. Nice to meet you.
So let's see here at your chart.
Okay. I need to ask you a couple of questions about your overall health. Is that okay?
Yeah, good. So, do you have any pre-existing medical conditions that I should be aware of?
Okay.
Okay, that's good to know.
Uh do you have any family history of certain diseases, conditions, anything?
Okay.
Okay.
Do you use any medications?
Okay.
And you take that for Yeah, okay. That makes sense.
Do you have any allergies?
Okay.
And any allergies to medications?
Okay.
Good. Um now I want to ask you what brought you in here today.
Okay, so you want a thorough checkup.
And you have a mole in your face that you're a bit concerned about. Yes, see it right there.
Um we will definitely be taking a look at that.
Also Also, you have been suffering from headaches.
Okay.
We will probably be doing a cranial nerve exam then.
In addition to the checkup.
Okay.
Anything else?
You want your flu shot? Okay.
No problem.
Fine.
So, let's get started.
Now, let's get started with the exam.
The first thing I'm going to do is just take your vital signs.
Um I'm going to start by listening to your heart and your lungs.
Let's see.
Now, can you please pull your shirt a bit down for me?
Thank you.
Just going to be listening.
Okay.
Sounds good.
Okay.
I'm going to reach behind you and listen to your lungs. Now, I want you to take deep breaths in and out for me.
Deep breath in.
And out.
Good.
Other side. Deep breath in.
And out.
Very good.
So, your are sounding fine.
Your heart rate is a bit fast.
Um but other than that, your heart seems to be in good health.
I would also like to take your blood pressure.
So, if you can reach out an arm for me.
Thank you.
Just going to place it there.
Now, relax. Relax. Relax.
Okay, let's see.
1 Okay, 140 over 90. That's a bit high, actually.
But that's fine.
We can see what we are going to do about that.
Um I can also, if it's Yeah, I think I want to actually the oxygen levels in your blood.
Okay, thank you.
So, that's all normal. Yeah, 99%.
And your heart rate's still a bit fast.
Um but that could be you are just being nervous.
Are you feeling a bit nervous?
Yes.
Okay, no worries.
Uh that's completely normal, and I will try my best to relax you. Okay?
Okay, good.
Now, just going to be putting on some gloves.
>> Have you been noticing any um any other symptoms with the headaches?
Yeah. Any nausea, dizziness?
No.
Okay.
Good.
So, what I would first like to do is just examine your face a bit with my hands. So, is it okay if I feel your face?
Okay, thank you.
Okay.
Okay.
I'm just looking for any lumps or bumps, any bruising, any anything like that.
I see that your mole is it's not too big. I'm going to measure it later.
Um can you tilt your head back slightly so that I can feel your lymph nodes?
Thank you.
Good.
>> Okay.
So, that seems all good.
Now, I would like you to just make make some facial expressions for me.
So, can you furrow your eyebrows?
Good. Can you raise your eyebrows?
Good.
Very good.
And can you give me a big smile?
Good.
Can you puff out your cheeks?
Perfect.
And now, can you frown?
Very good.
Can you raise up your shoulders like this, and I'm going to try to press them down, and you try to resist.
Okay?
Very good. Very good.
Um okay.
Uh so, I think I'm going to be very thorough.
So, I'm going to First, I just want to look into your nose, and your ears, and your mouth.
Starting with your nose.
So, just tilt your head back so that I can have a look up here.
Okay.
Have you had any runny nose, any itching?
Yeah, I can see that you are a bit congested.
Not to worry.
Yeah, you just had a cold.
Yeah, that explains it.
Otherwise, I can't see any redness.
Seems okay.
I'm going to be looking into your ears.
Okay.
Seems okay. A bit of earwax buildup, but nothing too bad.
Do you clean your ears?
Yes.
Only in the shower.
Okay.
And do you use Q-tips?
No. Okay, good.
The other ear.
Okay, that looks mostly fine as well.
A little less earwax in this ear, actually.
Okay, good.
Now, I'm going to be looking into your throat. So, if you can open your mouth and say "Ah" for me.
Thank you.
Okay.
Yeah, no redness.
No swelling of any kind, no plaque.
Looks very healthy.
Okay, perfect.
Very good.
Now, I want to be looking into your eyes.
Um first, I'm going to be using a light.
Um No, actually.
Yeah. I'm just going to be using a light to uh see if your pupils uh contract and dilate as they should, okay?
So, I'm just going to place this in the my hand in the middle of your face.
And just look straight ahead.
Good. Now, other side.
Very good.
So, that all seems uh okay.
Um now, I'm going to be giving you some eye drops.
And these eye drops are going to dilate your pupils.
So, that I can get a better, closer look at your eyes, okay?
So, just lean back and I'm going to be dropping this into your eyes.
Good. Other side.
Now, let's just wait for that to work.
Um in the meantime, I think I'm going to be removing that mole and sending it in for testing, if that's okay.
Yeah.
Okay, good. So, So, now I'm going to measure the mole just to see how big it is.
>> [snorts] >> Okay.
About a centimeter.
I'm just going to cut it.
So, just sit still. Sit still. Sit still.
I'm just going to cut off the mole.
Okay, good.
I'm going to be using these tweezers to just remove it.
There we go.
And I'm just going to place it in this testing bin.
Good.
Yeah, you are not bleeding or anything.
I don't think there will be a too big of a scar.
All right. So, don't worry about that.
Okay. Now, back to your eyes.
Now, I'm just going to be looking into your eyes again.
So, can you please look up for me?
Look up. Look up. Look up.
Look up.
Look up.
Okay, look down.
Look down.
Look to the side.
Look to the other side.
Okay, very good.
Uh I can't see any redness or anything wrong with your eyes.
Um Now, for a couple of tests. First, I want to check your vision.
Okay, so now I just want you to tell me if the E that I'm pointing to is the right or wrong way.
So, is this E the right or wrong way?
Good. What about this?
Good. What about this?
Good. And that?
That one?
Good. What about that one?
Good. And this one?
Good. And this one?
Very good.
Now, I'm going to be testing your color vision and your um sort of eye-mind coordination.
So, I want you to tell me the number and color that I'm pointing to, okay?
Good.
Good.
Very good.
What about this one?
Good. And this one?
Good. Very good. Very good.
Um now, I want you to follow follow this pencil with your eyes.
Don't move your head.
Use only your eyes, okay?
Good.
Perfect.
Perfect. Perfect.
Now, if you can look straight ahead, I want you to tell me which side is moving, okay?
Good.
Good.
Good.
Perfect.
Both, yeah?
Good.
And both again. Very good.
>> [clears throat] >> Now, please tell me when my fingers enter your field of vision.
Good.
Good.
Good.
Good. Now, let me know when my fingers leave your field of vision.
Good.
Good.
Good.
Very good.
Very, very good.
Okay.
Now, I want to be testing your reflexes.
So, I'm going to be tapping gently on your elbows and on your knees, okay?
Just sit still and relax for me, okay?
Okay, so I'm going to start with your elbows.
Good. Other side.
Good. And your knees.
Good. Other knee.
Very good.
So, your body is reacting the way it should to those taps.
Um Now, I want to test your hearing.
Okay?
I'm going to be snapping my fingers on either side of your head, and I want you to tell me, while you have your eyes closed, which side I'm snapping my fingers on, okay?
Okay, good.
Close your eyes. Close, close, close your eyes. Close your eyes.
Good.
Good.
Good.
Good.
Very good.
Perfect.
Okay. Now I'm going to be whispering a couple of numbers into your ear, and I want you to repeat them back to me, okay?
Okay.
1 3 8 1 3 8, good. 5 2 1 5 2 1, good.
9 2 6 9 2 6, good.
10 2 3 10 2 3, very good, very good, very good.
Okay.
Now would you You mind me feeling your abdomen?
Yeah.
Thank you. So I'm just going to be palpating very gently.
Let me know if anything feels tender or uncomfortable, okay?
Did that feel okay?
Okay, very good.
>> [clears throat] >> Now I I to be testing your sense of smell.
So, I want you to close your eyes, and I'm going to give you something that you are going to tell me the scent of, okay?
Okay, good.
Close your eyes. Close, close, close your eyes.
Okay.
So, what does this smell like?
Coffee. Yeah.
Are you good?
And now I'm going to give you something to taste, but let's first just remove my gloves.
Cuz I don't need them anymore.
Okay.
And close your eyes. Close your eyes.
Close your eyes.
And I'm going to give you something to taste, okay?
There we go.
Now, take a sip.
Take a sip.
Okay, and I'll taste it.
What do you think that tastes like?
Vanilla.
Perfect. Yeah, that was vanilla indeed.
Okay, so I can't seem to find anything wrong.
I mean your blood pressure is a bit high. Um so, I think I'm going to give you some medicine for that.
So, you can take this home.
Yeah.
Okay.
That's going to help lower your blood pressure and that can also help with your headaches, okay?
Yeah.
And then I am going to give you your flu shot.
So which shoulder do you prefer?
This one? Okay.
So I'm just going to be injecting it into your shoulder.
Very good.
Did that hurt at all?
No pain?
Okay, perfect.
Um this one last thing I want to test before we are done is just your sensitivity to temperature.
So I'm going to just light a fire with my lighter and I want you to close your eyes and tell me when you can feel the heat.
Yeah, I'm not going to burn you, I promise.
Okay.
Good. One more time.
Very good.
Okay.
So I think we are mostly done.
I'm going to send the mole in for testing.
And I want you to come back in about a month so that we can check your blood pressure again and see if the medication has worked.
And also and also tell me um, how how it's going with your headaches, okay?
Okay, but there's nothing to worry about, I'm sure.
Of course, it is important to get checked once in a while.
Okay, so thank you so much for coming in and I wish you a quick recovery from your headache and from the mold removal.
And I hope you have a lovely day.
Okay?
Thank you.
Goodbye. Goodbye. Goodbye.
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