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CHECK TIME STAMP FOR RUBRICS CHECK Time Stamp 1:19 (hair distribution) 1:32 (texture) Assess hair: distribution, texture : 1:42 Assess for shape of head, trauma, rashes, lesions 1:55 Palpate for any cysts, lesions, depressions, hematomas 2:26 Visual acuity – eye covered, each eye separately, then both eyes together with Snellen Chart at 6 feet for pocket chart, or 20 feet for wall chart. 3:15 – 3:23 (Exopthalmos) 3:30 (ptosis, eyelids) General Inspection: exophthalmos, ptosis, eyelids 3:47 General Inspection: conjunctiva, lacrimal system 4:23 – sclera; 4:45 iris ; 5:04 cornea General Inspection: sclera, iris, cornea 5:16 General Inspection: pupil reaction to light directly 5:45 General Inspection: pupil reaction to light consensually 6:16 Extraocular Motions: occulomotor (III) 6:16 Extraocular Motions: trochlear (IV) 6:16 Extraocular Motions: abducens (VI) 6:16 (while doing the movement and 7:19 I verbalized no NYSTAGMUS, NO LID LAG Extraocular Motions: nystagmus (verbalize while doing EOMs) 7:26 Extraocular Motions: convergence (verbalize and demo) 7:52 Extraocular Motions: accommodation (verbalize what it is) 8:20 Extraocular Motions: Visual fields by confrontation EACH EYE separately then together 9:45 (dim lifght) ; 10:28(procedure) Opthalmoscopic Examination: procedure L eye, L hand, R eye, R hand, Dim lights (or verbalize) 10:42 Opthalmoscopic Examination: Safety with Ophthalmoscope 11:01 Opthalmoscopic Examination: red reflex 11:36 Opthalmoscopic Examination: notes optic disc/cup description/ratio, inspection of vessels 13:55 Opthalmoscopic Examination: cornea, lens 14:16 inspect ; 14:30 palpate nose Inspect and palpate nose 14:42 Palpate sinuses- Frontal, Maxillary 15:24 mucosa ; 15:34 turbinates Inspect with light – mucosa and turbinates 15:45 Test for airflow and smell on each side 17:04; 17:19 WHISPER Gross hearing tests for auditory acuity (VIII): Watch tick or whispered voice 18:05 Gross hearing tests for auditory acuity (VIII): Weber (Verbalize normal findings) 18:40 Gross hearing tests for auditory acuity (VIII): Rinne (verbalize what it tests for) 19:20 Inspect external ear for discharge 19:40 Palpate external ear and tragus 20:45 Otoscopic examination: external canal 20:56 Otoscopic examination: tympanic membrane 21:23 RIGHT SIDE; 22:38 LEFT SIDE Otoscopic examination: cone of light 21:12 RIGHT SIDE 22:29 LEFT SIDE Otoscopic examination: landmarks 21:49 Instrument safety 23:00 Inspect lips 23:21 Inspect buccal mucosa 23:51 Inspect salivary duct openings 24:25 Inspect gingiva (pigment, hypertrophy, infection) 24:47 Inspect teeth (denture, caries, abscesses, deformities) 25:05 Inspect tongue (papillae, size) 25:28 Inspect strength and deviation of tongue (XII) 26:16; Inspect soft palate and uvula 26:40 swallow and 27:17 aaah test Inspect soft palate and uvula appearance and swallow, and uvula raise with ahh, CN IX, X 27:25 Inspect posterior pharynx and tonsils appearance 28:19 Range of Motion: flexion and hyperextension 28:37 Range of Motion: lateral motions, and rotation 29:30 Inspect spinal accessory: shoulder shrug (trapezius) 28:56 Inspect spinal accessory: head turning against resistance (SCM) 29:59 Palpate Lymph Nodes: Preauricular/posterior auricular 30:31 Palpate Lymph Nodes: anterior cervical 30:28 Palpate Lymph Nodes: posterior cervical 30:38 Palpate Lymph Nodes: submental 30:42 Palpate Lymph Nodes: submandibular 30:55 Palpate Lymph Nodes: supraclavicular 30:16 Palpate Lymph Nodes: Occipital 31:16 Palpate Lymph Nodes: trachea placement 31:37 Thyroid gland: inspection- tangential view 32:07 Thyroid gland: inspection swallowing: visualize thryoid upon swallowing before palpating with swallow 32:26 Thyroid gland: llocate landmarks for palpation 33:12 Thyroid gland: palpate gland on swallowing from behind patient