Here is a concise summary of the provided transcript:
**Exam Type:** Cranial Nerve Examination
**Conducted by:** Dr. Gill
**Summary of Tests and Findings:**
1. **Sense of Smell:** Normal (identified coffee scent)
2. **Vision:**
* Visual Acuity: Normal (read lowest line on Snellen chart with both eyes)
* Peripheral Vision: Normal
* Pupil Reaction: Normal
* Blind Spot: Aligned with expected location
3. **Sense of Sensation:**
* Facial sensation: Normal (detected blunt touch on face)
* Eye sensation: Normal (detected cotton wool touch)
4. **Hearing:**
* Auditory function: Normal (repeated spoken words, detected tuning fork sound)
* Lateralization: Able to identify sound source
5. **Motor Functions:**
* Facial muscles: Normal (raised eyebrows, screwed eyes shut, puffed cheeks)
* Jaw movement: Normal
* Tongue movement: Normal (stuck out, moved to sides)
* Head and Neck muscles: Normal (resisted push against face and shoulders)
6. **Swallowing:** No reported problems
7. **Speech:** Clear conversation throughout the examination
**Overall Result:** Clean bill of health regarding cranial nerve function.
Here are the key facts extracted from the text, numbered and in short sentences:
**Patient Information**
1. Patient confirmed their name and date of birth at the start of the examination.
2. Patient wears glasses normally.
3. Patient had their glasses with them during the examination.
4. Patient reported no recent changes to their prescription.
**Sense of Smell**
5. Patient was tested for sense of smell using a substance (later revealed to be coffee).
6. Patient successfully identified the smell of coffee.
**Vision**
7. Patient's visual acuity was tested using a Snellen chart.
8. Patient was able to read the lowest line on the chart with both eyes.
9. Patient's peripheral vision was tested and showed no problems.
10. Patient's blind spot was tested and found to be normal.
**Sense of Sensation (Face and Eyes)**
11. Patient's sense of sensation on their face was tested using a blunt object.
12. Patient successfully felt the object when touched to their face.
13. Patient's sense of sensation on their eyes was tested using cotton wool.
14. Patient successfully felt the cotton wool when touched to the side of their eye.
**Hearing**
15. Patient reported no problems with their hearing.
16. Patient's hearing was tested by repeating words spoken by the examiner (e.g., "100", "99").
17. Patient successfully repeated the words.
18. A tuning fork test was conducted to assess hearing and bone conduction.
**Mouth, Throat, and Swallowing**
19. Patient was asked to take a sip of water and reported no problems.
20. Patient's mouth and throat were examined, and no problems were found with eating or drinking.
**Muscle Strength (Head, Neck, and Tongue)**
21. Patient's muscle strength in their head and neck was tested and found to be excellent.
22. Patient's tongue movement was tested and showed no problems.
**Conversation and Speech**
23. Patient engaged in a reasonable conversation throughout the examination.
24. Patient successfully repeated a series of sounds ("eh e io Anu") to test speech.