Print
PDF
Introduces self
|
0
|
1
|
|
Confirms name & age of patient
|
0
|
1
|
|
Explains & gains consent
|
0
|
1
|
|
Washes hands
|
0
|
1
|
|
Exposes & positions patient
|
0
|
1
|
|
Asks if patient is in pain
|
0
|
1
|
|
General inspection: asymmetry, ptosis, tremor, scars (particularly
behind ear)
|
0
|
1
|
|
Asks patient if they have experienced any numbness/paraesthesia of
face
|
0
|
1
|
|
Tests light touch in 3 divisions of V nerve
|
0
|
1
|
|
Offers to test sharp touch via pin prick
|
0
|
1
|
|
Washes hands
|
0
|
1
|
|
Inspects muscles of mastication for weakness or fasciculations
|
0
|
1
|
|
Palpates bulk of masseters and temporalis. Tests strength of
Pterygoids
|
0
|
1
|
|
Offers to do corneal reflex, jaw jerk reflex
|
0
|
1
|
|
Inspects for asymmetric wrinkling of the forehead
|
0
|
1
|
|
Asks patient to raise eyebrows, close eyes against resistance
|
0
|
1
|
|
Asks patient puff out cheeks against resistance and show their teeth
|
0
|
1
|
|
Asks about changes in taste and hearing. Offers formal testing of
taste
|
0
|
1
|
|
Performs gross hearing assessment by whispering in one ear whilst
distracting the other
|
0
|
1
|
|
Offers to do Rinnie's and Webbers test and auroscopy
|
0
|
1
|
|
Thanks patient and offers help to redress
|
0
|
1
|
|
Washes hands
|
0
|
1
|
|
Requests a full neurological exam for completion of
exam
|
0
|
1
|
|
Summarises appropriately with only key findings
|
0
|
1
|
|
Offers appropriate differential diagnoses
|
0
|
1
|
|
Patient global score
|
0
|
1
|
2
|
Potential differentials
- CN5 - abnormalities in sensation can be caused by facial trauma or local cancer invasion
- CN7 - Bell's palsy if lower motor neurone lesion (forehead muscles affected)
- Differential Ramsay Hunt syndrome for varicella zoster
- Acoustic neuroma particularly if CN8 also affected
- Stroke if forehead muscles spared (upper motor neurone lesion)