This demonstration elegantly bridges the gap between clinical rigor and sensory therapy by isolating the rhythmic precision of a neurological assessment. It proves that structured medical protocols, when stripped of visual clutter, can serve as both a pedagogical tool and a profound source of cognitive grounding.
Deep Dive
Prerequisite Knowledge
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Deep Dive
Unintentional ASMR - Cranial Nerve Exam Test Dark ScreenAdded:
Can you tell me whether you wear spectacles, please? Uh, no. No. Okay, I'd like you to read some print off here.
Could you take that in your hand and cover up your right eye, please?
Could you read the top line?
He moved forward a few steps. The house was so dark behind him, the world so dim and uncertain in front of him.
Okay. Could you swap eyes and hands now, please?
Then he heard a a sniff a sniff, felt something warm against his leg. He had almost stepped upon the animal.
He bent down and stroked its wet coat.
Okay. That's great. Thank you.
Could you cover your right eye with your right hand, please?
I'd like you to look and concentrate in the center of my eye.
I'm going to bring my finger in and when the finger moves, I'd like you to say, "Yes."
Yes.
Yes. When I'm doing this, I'm comparing the patient's visual field with my own.
Yes. Okay. Could you swap eyes now, please?
Yes.
Yes.
Yes.
Yes.
What I'd like you to do, please, is to look behind me at the clock and focus on the clock and not look straight at the light.
Please notice for doing this, I'm using the ophthalmoscope for examining the patient's right eye in my right hand and I'm going to look into his right eye through my right eye.
First of all, I'm going to examine the red reflex.
I'm now going to move closer to examine the back of the eye.
I'm looking at the optic disc. I'm looking at the vessels.
I'm now going to scan the rest of the retina.
I'm now going to move to look in the left eye. Going to swap the ophthalmoscope into my left hand and I'm going to examine the patient with my left eye looking at his left eye.
Again, if you could look into the distance, please.
Again, check the red reflex and then examine the back of the eye.
What I'd like to do is get you to focus on the tip of my pen.
I'd like you to follow with your eyes and keep your head still.
I'd also like you to tell me if you see double at any position. Right. Okay.
So, if you could just follow my pen.
I'm taking the patient's eye movements to the extremes of horizontal gaze first and then examining vertical gaze.
At all stages, I'm looking to see if there's any nystagmus in any particular position.
I'm now going to test for the movements of the oblique muscles.
Okay. So, you didn't see double in any of those positions. No.
As the eyes converge, both pupils are seen to constrict.
I'm now going to test the sensation on your face.
I'd like you to tell me if it feels the same on each side.
Yes.
Yep.
Yep.
Can you clench your teeth tight?
Keep clenching. I can feel the temporalis muscle contracting and again, please. I can feel the masseter contracting.
Can you open your jaw now, please?
The pterygoid muscles open the jaw in the midline. Could you keep it open for me?
The pterygoids are strong and I should not be able to overcome this movement.
Can you move your jaw from side to side?
If the right pterygoid muscle is weak, the jaw will deviate to the right and if the left is weak, it will deviate to the left.
Could you raise your eyebrows fully, please?
We're looking for wrinkling of the forehead due to contraction of the frontalis muscle and this should be symmetrical.
Can you now screw your eyes tight together?
We're testing the orbicularis oculi muscle and I shouldn't be able to open the eyes.
Thank you. Now, can you smile like this, please?
I'm looking for symmetry of the smile and equal action of the orbicularis oris muscle.
Now, can you blow out your cheeks?
This is a function of the buccinator muscle.
I press gently and see if there's any incontinence of air and escape of air from the mouth.
Thank you.
I'm going to cover one ear and whisper number in the other. Would you tell me what the number is, please?
36. Yeah.
43.
Okay.
Let's do some tuning fork tests.
This is a Weber's test.
Can you hear that vibrating? Yes. Does it sound louder on one side or the other?
It's the same on both sides.
That's normal.
I'm now going to do the Rinne test.
Can you hear that vibrating? Yes. Please will you tell me when it stops.
I can't hear that.
Can you hear that? Yep.
That's a normal Rinne test. I would now go on to repeat the test on the opposite side.
Could you open your mouth for me?
Could you protrude your tongue?
Can you move it from side to side?
Now, can you push your tongue against my fingers?
And can you do it on the other side, please?
Thank you.
I'm going to test your neck and shoulders. Could you shrug your shoulders for me, please?
I'm looking for symmetrical elevation of the shoulders by the trapezius muscles here.
Next, can I get you to turn your head against my hand?
And I'm looking here at the sternomastoid muscle.
If we could do it the other side, please. Could you turn your head against my hand again?
And again, we're looking at the sternomastoid muscle here.
Okay.
That's all I need to examine. Thank you.
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