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十二对颅神经查体(国外英文资料)
十二对颅神经查体(国外英文资料)
Twelve of cranial nerve, Ⅰ, Ⅱ, Ⅷ is sensory nerve; Ⅲ, Ⅳ, Ⅵ, XI, X Ⅱ is a motor nerve, Ⅴ, Ⅶ, Ⅸ, Ⅹ is mixed nerve.
One sniffed two eyes, four slid five and six outward, seven to eight to listen to nine, ten fan eleven to the lower nerve all.
Olfactory nerve (Ⅰ) :
Let the patient smell -- vinegar, alcohol, white water, and a nasal examination.
The hallucinogenic smell -- the smell of burning -- suggests that there may be temporal lobes.
Anosmia - a patient with a skull fracture in a car accident.
Optic nerve (Ⅱ) :
Vision: the subjects were measured at 5m.
2, view: normal monocular vision range is about 90 °, the temporal side below 70 °, the nasal side and above 60 °.
3, fundus: in the dark, light patients backlit please and sit, or lie on your back on the bed, looking ahead, as far as possible do not turn the eye, ophthalmoscope with the patients eye distance cannot be more than 2.5 cm.
Vision of the nipple: note the shape, size, color, rise and edge. The normal nipple is round or oval, about 1.5 mm in diameter, the edges are neat, the color is light red. The central part of the color is light and concave, which is the physiological depression.
(Ⅲ) oculomotor nerve, trochlear nerve (IV) and (VI) exhibition nerve
Eye fissure: to observe whether the two sides of the eye are symmetrical, consistent, have not enlarged or narrow, upper eyelid has droop.
2, the eye:
(1) the position of the eye: to observe whether the eyeball is prominent or insinuated, whether there is a bias or skew.
(2) the eye movement, patients in all directions, please turn the eye, and then the inspectors will index refers to in the eyes of 30 patients with cm, left, right, up, down, right, right, left, left eight direction.
(3) ocular shock: to see if the patient has an eye tremor, the moving form of the eyeball can be divided into swing, impulsivity and irregularity.
3. The pupil:
(1) size: under the ordinary light, the pupil diameter of 3-4 mm, slightly more children, the old man
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