10 or 11 nerves

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Name

Function

CN I (1)

olfactory, sense smell

salivary glands

parotid gland, submandibular gland, sublingual gland

CN X (5)

vagus nerve, gag reflex, touching the back of the throat

CN IX (9)

glossopharyngeal nerve, gag reflex, say argh, press on tongue or posterior oral pharynx

CN XII (12)

hypoglossal nerve, stick out tongue, test strength against resistance, if damage, tongue deviates towards the paralyzed side

CN VII (7)

Facial Nerve, motor (facial movement and expression) = phung ma' test, sensory (taste anterior 2/3 of tongue)

CN V (5)

trigeminal nerve; motor (clench teeth) lateral jaw strength or chin strength against resistance, chin pulled down; sensory: 3 zone for pain and touch, cuc bong gon

CN XI (11)

spinal accessory - test shoulder shrug against active resistance

right lymphatic duct

drain the Right side of the body, right head, neck, arm, thrax lung & pleura, heart and upper liver

thoracic duct

drain the rest of the body

lymph nodes

absorbs lipids from the GI tract

superficial nodes

in sub-Q tissue

deep nodes

lie in muscle, fascia, or bod cavities

posterior fontanel (triangle shape)

closes at 2 mos

anterior fontanel (diamond shape)

closes at 24 mos

sunken fontanels

dehydration

buldging fontanels

increased ICP

pregnancy: chloasma

facial discoloration

pregnancy: palpable thyroid

normal in pregnancy

aging adults

change in curve of the neck and head to compensate for kyphosis, prominen facial bones due to decreased tissue elasticity

lymphedema

excessive collection of fl in interstitial spaces due to blocked or infected lymphatic channels

acute lymphangitis

inflammation of lymph vessels usually 2degree to strep infection of an extremity - S&S red streaks extending to axilla or groin, fever, chills, etc.

acute lymphadentitis

inflammation of lymp nodes 2degree to systemic neoplastic desease, bacterial infection, or other inflammatory condition - S&S enlarge, tender, firm nodes, with surrounding edema & erythema (cat scratch desease)