Skin Lesions
Skin Assessment
Cranial Nerves
Assessment
Assessment Cont.
100

raised but not fluid-filled lesion

What is papule?

100

Pallor or cyanosis can best be assessed for all skin tones 

What is the oral mucosa?

100

the patient sticking out their tongue and moving it from side to side evaluates this cranial nerve

What is the hypoglossal Cranial nerve XII

100

Loss of taste, smell, vision, or hearing are all examples of 

What are abnormal findings?

100

involuntary, rapid muscle contractions—such as the knee-jerk—used in neurological exams to assess the integrity of the spinal cord and peripheral nerves

What are Deep Tendon Reflexes (DTRs)?

200

deep solid lesion

What is Nodule?

200

a key indicator of hydration levels and fluid balance

What is skin turgor?

200

a shoulder shrug and head turn test this cranial nerve

What is cranial nerve XI Accessory?

200

The Six Cardinal Fields of Gaze test these three cranial nerves

What are cranial nerves III, IV, and VI?

200

This membrane is pearly white or light gray, translucent, and is assessed with an Otoscope.

What is the tympanic membrane? 

300

small, inflamed, pus-filled lesion

What is a pustle?

300

Skin Turgor is assessed at these locations

What are the forearm, abdomen, or sternum by pinching the skin?

300

Testing a patient's ability to smell 

What is cranial nerve I, the Olfactory?

300

The gag reflex assessment is to check this cranial nerve

What is the Vagus nerve, cranial nerve X?

300

This is assessed at the beginning and end of a physical assessment using a Numeric Rating Scale (NRS) or a Wong-Baker Faces scale. 

What is pain?

400

small fluid-filled lesion

What is a vesicle?

400

The skin should be these three things to be WNL

What is clean, dry, and intact?

400

Facial expressions, facial symmetry, and taste test this cranial nerve

What is cranial nerve VII, Facial?

400

The patient clenches their jaws tightly together and can feel the cotton brushing against the skin on their face, this cranial nerve is intact

What is the Trigeminal, cranial nerve V?

400

Bulging eyes are indicative of Hyperthyroidism, if this is assessed it would be charted as 

What is exophthalmos?

500

large, fluid-filled sac, or blister

What is a Bulla?

500

Mucous membranes are an extension of skin our physical barrier and has to be these three things to be WNL

What is pink, moist, and intact?

500

the wisper test and balance assessment check this cranial nerve

What is cranial nerve VIII, the Vestibulocochlear?

500

A snellen eye chart may be used to test this cranial nerve

What is cranial nerve II, the Optic nerve?

500

Penlights are required for this assessment

What is PERRLA: Pupils Equal, Round, Reactive to Light, and Accommodate? 

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