question archive Scott is a very active 12 year old boy

Scott is a very active 12 year old boy

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Scott is a very active 12 year old boy. He decides he is going to climb higher than 
anyone else on the tree. Scott is a good 30 feet up in the air. His friends are begging him 
to come down. Scott is almost to the very top of the tree when the branch breaks. He his 
several branches on the way down and lands on the sidewalk. His friends rush to him. 

He is unconscious. One of his friends calls 911. When the EMTs arrive, they examine 
Scott and though Scott is unconscious, his vital signs are stable. One of Scott's friends 
asks the EMT what is the pink fluid coming out of Scott's ear? The paramedics are 
working fast. They arrive at the hospital in record time. Miraculously, Scott wakes up 
on the way to the hospital. He is a very good patient and holds still for a head CT. 
Scott has fractures on both his right temporal and sphenoid bones. You exam Scott's 
chart and notice the following observations: 
? Observation 1: Scott has double vision (diplopia) and his right eye is turned 
slightly inward when looking straight ahead. 
? Observation 2: Numbness of the right upper lip, lower eyelid, and cheek 
Observation 3: Paresthesia (sensation of pins and needles) at the right corner of 
the mouth, extending to the lower lip and chin 
? Observation 4: Complete loss of hearing in the right ear 

Each of the four observations on Scott's chart indicate damage to a cranial nerve. 
Identify each cranial nerve involved. 

Observation 1: 

Observation 2: 

Observation 3: 

Observation 4: 

Which side of his head was damage? 

pur-new-sol

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