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Brain Nerves
10 or 11 nerves
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) |