NEUROLOGICAL EXAMINATION GENERAL APPEARANCE: This is an

NEUROLOGICAL EXAMINATION GENERAL APPEARANCE: This is an elderly female lying in bed, alert and awake, and fairly cooperative. Speech was fluent and not dysarthric. Comprehension was fairly preserved. She was oriented to place and person but disoriented to time. Her memory for recent and past events was severely impaired. She could not provide any information concerning her past medical history. CRANIAL NERVES: Full visual fields to confrontation. Optic disks are sharp. Extraocular movements are full in all directions; there was no nystagmus. Both pupils were reactive to light. Facial sensation was intact. There was a left facial weakness which seemed to be of peripheral type, but this could not be determined with certainty. The uvula was in the midline. Gag reflex was intact. Tongue was in the midline. CEREBELLAR FUNCTION: Cerebellar function could not be tested due to her inability to follow two-step commands. MOTOR: Normal muscle tone and normal strength throughout. There was no focal limb weakness. SENSORY: Intact pinprick and perception throughout. IMPRESSION: Left facial paralysis which appears to be chronic either secondary to a trauma in the past or residual from an old Bell’s palsy. A brainstem lesion, although unlikely, should be further investigated. RECOMMENDATIONS: I have taken the liberty of ordering an MRI scan of the brain, EEG, and auditory brainstem evoked response to rule out the aforementioned possibilities. Questions: 1 – What is the definition of nystagmus? 2 – What are the signs and symptoms of Bell’s Palsy? (There are multiple ones, list at least 4) 3 – The uvula is located where in the human body and what is its function? 4 – What is the definition of MRI? 5 – What are the possible three (3) etiologies given for this patient’s condition? (remember what the term etiology means!!!) explain thoroughly and cite whatever sources used please, thanks you! SCIENCE HEALTH SCIENCE NURSING HIT 101 BOL

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