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Pocket Guide for Cutaneous Medicine and Surgery
Cambridge University Press
0521618134 - Pocket Guide for Cutaneous Medicine and Surgery - by Joshua E. Lane, M.D.
Excerpt
Physical Examination
| Admission Orders |
| A | admit to...(floor, team, attending, intern) |
| D | diagnosis |
| C | condition |
| V | vitals |
| A | activity |
| A | allergies |
| N | nursing (strict I/O's, daily weights, chemstrips) |
| D | diet (NPO / liquid / reg / cardiac / renal) |
| I | intravenous fluids |
| S | specific drugs |
| S | symptomatic (DVT prophylaxis, Tylenol, Maalox, H2-blocker) |
| E | extra studies (EKG, CXR, consults) |
| L | labs |
Operative Note
Date of operation
Preop diagnosis (diagnosis and anatomic location)
Postop diagnosis
Operative procedure
Surgeons
Assistants
Anesthesia
Indications
Description of procedure
Findings
Specimens (orientation sutures)
EBL
Drains
Complications
Condition
Follow up and wound care instructions (activity, medications, diet)
Cranial Nerves
I olfactory
olfaction
II optic
vision, pupil light reflex
III oculomotor
innervates levator palpebra superioris
innervates 4 of 6 ocular muscles:
- superior rectus
- medial rectus
- inferior rectus
- inferior oblique
parasympathetic innervation of:
- ciliary muscle
- sphincter pupillae muscle
IV trochlear
innervates superior oblique muscle
V trigeminal
sensory innervation of face and scalp:
- opthalmic division
- maxillary division
- mandibular division
innervates muscles of mastication
tensors of tympanic membrane/palate
sensory for teeth, mucous membranes of mouth, nose, eye
VI abducens
innervates lateral rectus muscle
VII facial
all muscles of facial expression
innervates buccinator, platysma, stylohyoid, posterior belly of digastric, stapedius
parasympathetic innervation of salivary glands
sensory of concha of auricle
taste for anterior ⅔ tongue
VIII vestibulocochlear
auditory and vestibular
IX glossopharyngeal
sensory innervation of:
- tympanic cavity
- eustachian tube
- tonsillar region of pharynx
- posterior ⅓ of tongue (taste)
- external auditory canal and auricle
motor innervation of:
- stylopharyngeus muscle
- parotid (parasympathetic)
X vagal
pharyngeal muscles
- phonation
- swallow
- taste, elevates palate
- innervation of external auditory canal
XI spinal accessory
muscles of sternocleidomastoid, trapezius, muscles of soft palate, pharynx, larynx
XII hypoglossal
extrinsic and intrinsic muscles of tongue
| Dermatomes |
| Clavicle | C4 |
| Lateral upper arm | C5 |
| Medial upper arm | T1,2 |
| Thumb | C6 |
| Middle and index fingers | C7 |
| Third and fourth fingers | C8 |
| Nipples | T4 |
| Umbilicus | T10 |
| Inguinal region | L1 |
| Anterior and medial legs | L2-4 |
| Foot | L4, L5, S1 |
| Medial great toe | L5 |
| Posterior and lateral legs | L5, S1, S2 |
| Lateral foot and small toe | S1 |
| Perineum | S2-4 |
| |
| Anterior and superior helix | Auriculotemporal nerve |
| Tragus | Auriculotemporal nerve |
| Occipital scalp | Greater occipital nerve |
| Posterior superior helix | Lesser occipital nerve |
| Posterior inferior helix | Greater auricular nerve |
| Posterior earlobe | Greater auricular nerve |
| Neurology |
| Function |
| C5 | abduct arm |
| C6-8 | adduct arm |
| C5,6 | flex elbow |
| C7,8 | extend elbow; flex/extend fingers |
| C6 | pronate/supinate |
| C6,7 | flex/extend wrist |
| T1 | abduct/adduct fingers |
| L1-3 | flex, adduct, medially rotate hip |
| L3,4 | extend knee |
| L4,5 | dorsiflex, invert ankle |
| L5, S1 | evert ankle |
| S1 | plantar flex |
Oculomotor exam
| Image not available in HTML version |
| CN Ⅲ | Superior division | SR | superior rectus |
| | | LA | levator palpebrae superioris |
| | Inferior division | MR | medial rectus |
| | | IO | inferior oblique |
| | | IR | inferior rectus |
| CN Ⅳ | | SO | superior oblique |
| CN Ⅵ | | LR | lateral rectus |
Anatomy
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