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Pocket Guide for Cutaneous Medicine and Surgery
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 (ISBN-13: 9780511343483)




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

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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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