Hello May I have your name? You came last week, right? Last time, You visited me because you had headaches and dizziness. So You'll get to start cranial nerve exam today. No, it's not that scary a prosecutor. That's right. Oh dear, You're so nervous that you couldn't even eat. It's okay. After having an examination with me and you can go and eat something better. It's not that difficult stuff, So you don't have to be nervous. Today, I'm going to check if headache and dizziness are associated with nerves. It's gonna be a very simple test, so please just follow me well. There will be seven tests today. First of all, the olfactory nerve exam. Use your nose to figure what the smell it is. It's a very simple thing. Then the optic nerve exam. And then the oculomotor nerve exam. The patient's eyeball is tested to see if it moves well in six directions. And the trigeminal nerve exam. This is a patient's forehead to the chin, From forehead to chin, examine sense of pain, touch, and temperature. Then taste sense exam and hearing test. And finally, after a accessory nerve exam, today's nerve exam will be over. It'll be really not that hard. It's a very simple test. You don't have to be nervous. Let's slowly check each one. I'm going to give you four scents under your nose, One by one, like this. And then, another one by one. I'll take it under your nose. And then, You'll just tell me what kind of scent that is. It's a very simple test. This test will take a one side each, so please cover your nose like this. Great. So, Let's start the examination right away. Please close your eyes for a more accurate examination. Great. With take a deep breath, breath in, And breathe out. with a deep breath in, breathe out.. Could you tell me what kind of scent is it? That's right. It's scent of lemon. Please keep your eyes close. don't open yet. Okay, let's keep going. with the same way, take a deep breaths. breathe out. once more Take a deep breath in, and breath out.. Could you tell me what kind of scent is it this time? That's right. This is scent of coffee. in succession, Same as just before, Take a deep breath in, and breath out. Please tell me which scent is it. That's right. Sesame oil. It smells really savory, right? You're doing very well. This is last one. Take in deep breath, once more Could you tell me what scent is it? That's right. This is Lavender scent. What do you think? It's easy, right? Let's go to the other side. Please cover the nose on the other side. Close your eyes again. Close your eyes. Please feel free to keep close your eyes. Alright. Take in deep breath, And out of breath. What kind of scent is it? That's right. It's sesame oil. Take a deep breath, and breath out. Could you tell me what scent it is? That's right. scent of coffee. You're doing very well. Let's breathe. once more Lavender, exactly. The last one. Take a deep breath, once more Great job. It's scent of lemon. You can open your eyes. How was it? That's a piece of cake, right? The rest of the inspection is not difficult as well. So you don't have to worry too much. Just a moment, please. All right. Let me see into your eyes. Put your eyes on my knees please. All right. Now, look upside please. Go to the other side. Look at my knees again. Good job. Eyes up, agian. All right. Well done. We're going to start your optic nerve exam now. I'll hold this penlight and stretch out my arms. I'm going to put this penlight closer and closer. more closer I'll bring it like this. Raise your hand a little when the penlight enters the your field of view. Did you understand? Great. Please cover one eye this time. Cover one eye like this. All right. Here we go. with my arms stretched out Closer Okay. Try again. with my arms stretched out Closer Good. Let's try again. Closer Good job. once more get closer All right. I'll try to do it on the right side. with my arms stretched out state. Closer Great. Last, get closer Good job. This time, Let's try the other side of the blindfold. Please cover your eyes like this. If you see the penlight in the field of view, Raise your hand. All right. Let's try. With the penlight in hand from afar, getting closer Good job. once more getting closer All right. I'll try it a little slower this time. I'm going to put the penlight. slowly I'll bring it slowly. All right. You're doing very well. slowly All right. I'll bring this penlight from the top like this. Good job. This time, we're going to the oculomotor nerve exam. In the same way, we use this penlight to conduct an inspection. This time, I will check to see if the eyeballs of the patient follow up well with my movements. Please cover your one eye like this. Okay. I'll move it like this. Please follow me well. like this like this You're doing very well. Keep focusing and follow the light. All right. I'll make a circle like this. slowly Keep watching, just catch and follow my movement. Good job. Please cover the other side. Let's go to the other side. Slowly focus on my movements and follow the light. All right. I'll make a circle this time. I'll make a circle. Please focus and follow me slowly. You did a great job. This time, we're going to go through a trigeminal nerve exam. from the forehead to the chin, Touch your face with this soft brush and a rough swab. Please tell me right away you feel it's a soft or rough. Close your eyes again. Close your eyes. Good. Close your eyes like this. Here we go. That's right. It's soft. That's right. A rough one. Here, below too. That's right. The rough ones. That's right. It's rough. You're doing very good. Like this, too. All right. That's right. It's rough. You're so good at this. now, I'll try a little faster. Fine. That's right. once more Exactly. You're doing very well. I'll try again. That's right. A soft stuff You did a great job. I think you're pretty relaxed now. You're really doing very well. Next, Let's check the sense of temperature. The cotton wet with water is popping on the patient's skin. tickling Hold it over your skin. Is this cotton cold? Please tell me if it's warm. I'll start the inspection right away. Close your eyes, please. Yes, that's fine. How do you like it? It's cold. It's warm. How do you like it? It's cold. This time? Good job. How do you like it? It's warm. He was good at warm things. Let's do it again at the end. It's cold. You did a great job. They're following me so well. This time, I will touch the patient's face directly. to comb one's back teeth Bite your back teeth tight. Please bite your back teeth again. I'm touching the tip of this jaw, so try putting your back teeth in. Yes, that's fine. I'll try again. just a little bit more I'll put more energy into it. Good job. I'll try to put some air in my cheeks. once more Isn't it hard? Good job. This time, we're going to start the taste test. Add bitter, sour, sweet, and salty flavors to the patient's mouth. I want to know what it tastes like. Please tell me. I'll close my eyes again. Close your eyes down for a more accurate inspection. with one's mouth open Gently touch the tip of your tongue. What does it taste like? to be sweet Close your eyes. Let's go in again. What does it taste like? Is it salty? That's right Please swallow your spit. in succession What does it taste like? Bitter? You're so good. end What does it taste like? Is it sour? Yes. Isn't it fun? He's doing very well. There's only a short time left. after an audiometry and a paranneuropathy Today's neurosurgery is over, so please follow me a little bit better. I'm going to start my hearing test this time. I'll give you the sound of pressing the button on your ears. Raise your hand if you can hear the sound. Got it, right? I'll close my eyes again. I'll close my eyes. Like this, down here. I'll close my eyes. All right. Here we go. Yes, that's right. That's right. Yes, that's fine. I'm doing very well. I'll try a little faster this time. When you hear the sound from both sides, Raise your hands. Good. I'll try. I'm doing well. That's right. Yes, it's good. I even completed my hearing test. And finally, there's a paranoid examination left. Watch the movement of the mitral muscles. I push the patient's mitral muscles. Please raise your shoulders then. Shall we try it? I'll practice. Should I put it up on my shoulder? Yes, it's good. You know what I'm doing, right? I'll try it like that's what I'm going to do. with a little more energy Please think it's going to be higher. at ease with one's body Yes, it's good. Let's start the test. Should I raise my shoulders a little more? a little more Good. Good job. Are you tired? Wait a minute. I'll try again. I'll raise my shoulders. a little more a little more Good job. Good job. It's really the last one. It's a little similar this time, but this time I'm going to touch your face. I'm going to turn your face sideways like this Patients should focus on the opposite direction so that their faces don't turn. Got it, right? Good. Let's go check it out. You did a great job. The other side. just a little bit more Good job. Thank you so much for today. How was today's test? Yeah, it's not hard, is it? Now go and eat something delicious You can go outside and re-book the test results and visit again. Thank you for your hard work.
