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Unilateral loss indicates a possible nerve lesion or deviated septum. This test is usually skipped on a cranial nerve exam. [1] The short axons of the first cranial nerve regenerate on a regular basis. The neurons in the olfactory epithelium have a limited life span, and new cells grow to replace the ones that die off.
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history , [ 1 ] but not deeper investigation such as neuroimaging .
Hoffmann's reflex (Hoffmann's sign, sometimes simply Hoffmann's, or finger flexor reflex) [1] is a neurological examination finding elicited by a reflex test which can help verify the presence or absence of issues arising from the corticospinal tract. It is named after neurologist Johann Hoffmann. [2]
• The information needs to be interpreted in the context of the physical examination elsewhere (e.g. chest, abdomen, neurological examinations in the case of the limping child or in the presence of any “red flags” in the unwell child. • Documentation of findings in the case notes is simple using a grid (see free resources)
An upper limb neurological examination is part of the neurological examination, and is used to assess the motor and sensory neurons which supply the upper limbs. This assessment helps to detect any impairment of the nervous system, being used both as a screening and an investigative tool.
The jaw jerk reflex or the masseter reflex is a stretch reflex used to test the status of a patient's trigeminal nerve (cranial nerve V) and to help distinguish an upper cervical cord compression from lesions that are above the foramen magnum.
Romberg's test, Romberg's sign, or the Romberg maneuver is a test used in an exam of neurological function for balance. The exam is based on the premise that a person requires at least two of the three following senses to maintain balance while standing: proprioception (the ability to know one's body position in space)
Eyes: eye examination and acuity (including ophthalmoscope) Ears: hearing examination and evaluation of tympanic membrane (TM) ( otoscope used in evaluation of ears, nose, and mouth) A neurological examination is usually considered separate from the HEENT evaluation, although there can be some overlap in some cases.