Ch. 11

Systemic symptoms
Secondary headache risk factors
Neurologic symptoms
Onset
Older
Previous Hx

I. Olfactory nerve: Sense of smell

II. Optic nerve: Ability to see

III. Oculomotor nerve: Ability to move and blink your eyes

IV. Trochlear nerve: Ability to move your eyes up and down or back and forth

V. Trigeminal nerve: Sensations in your face and cheeks, taste, and jaw movements

VI. Abducens nerve: Ability to move your eyes.

VII. Facial nerve: Facial expressions and sense of taste

VIII. Auditory/vestibular nerve: Sense of hearing and balance.

IX. Glossopharyngeal nerve: Ability to taste and swallow.

X. Vagus nerve: Digestion and heart rate.

XI. Accessory nerve (or spinal accessory nerve): Shoulder and neck muscle
movement.

XII. Hypoglossal nerve: Ability to move your tongue.

•Onset
• Characteristics
• Location
• PrecipitatingFactors
• Frequency
• Severity
• Duration
• Associated factors

Symmety/CN 7 function

- Indications: hypocalcemia
• Irritability of CN VII Facial nerve
Test: (percuss) the masseter muscle at the jawbone to illicit a twitch

Inflammatory disease when the immune system attacks itself
• Linked to butterfly rash and joint pain

Facial paralysis/ weakness of
one side of the face
• Can be caused by a virus

Overproduction of growth
hormone • Gigantism

Too much cortisol
• Linked to steroid usage

Myxedema

underactive thyroid caused by antibodies (autoimmune)

short-term memory decreased
• social withdrawal, depression, apathy
• Weakness
• dull, puffy, yellow skin, always cold
• coarse, sparse hair
• temporal eyebrow hair loss
• prominent tongue
• No goiter
• Constipation
• menorrhagia
Graves Disease

Hyperthyroidism caused by antibodies

nervous/ energetic
• palpitations/ tachycardia
• heat intolerance
• weight loss/ increased appetite
• fine hair
• prominent eye bulging
• goiter
• diarrhea
• amenorrhea

• One side of head flat
• 2 causes:
1. position -baby likes to sleep on one side the most
2. premature fusion of one suture (craniosynostosis)

• linked with premies
• It is a type of plagiocephaly
• Baby likes to sleep supine
(back)

Linked to :
• premies
• Thalassemia
• Paget disease

• Suspect cranial defect or mass

- Significant Scalp edema
- r/o trauma/compression coming through birth canal

- Blood under the scalp
- Starts out hard

1. Small Palpebral Fissure
2. Poorly formed groove at center of upper lip
3. Flat nasal bridge
4. Thin Upper lip

- Rare d/o linked to toxic meds/drugs during pregnancy
- Triad s/s:
1. small chin
2. displaced tongue (further back)
3. Cleft palate

• Airway obstruction
• Slow Growth
• Aspiration risks
• Other digestive tract deformities?
• Recommended to sleep and feed on their side • Speech can be affected