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Introduction
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Patient Problems

Review the two patient problems presented below, then: 1) identify whether or not the case requires cranial nerve examination as part of an initial evaluation, and 2) briefly describe the rationale for your responses. Use the attached worksheet and then compare your answers and rationale with the response from the clinical expert.

Patient Problem One
A fifty- two year old man stumbled while jogging. He presents with a grade 3 talofibular ligament sprain of his right ankle. The clinician completes an interview history and systems review.

  • The findings are unremarkable for neurological signs or symptoms.

Patient Problem Two
A fifty-two year old man stumbled while jogging. He presents with a right grade 3 talofibular ligament sprain. The clinician completes an interview history and systems review.

  • The patient reported that he hit his head during the fall.
  • The patient described a headache at the time of the fall with some "muscle pain in the back of the neck."
  • The patient did not describe neurological symptoms.
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Section: Introduction
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Page 5 of 9
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