You are examining a patient with ?acromegaly). a. How can a - TopicsExpress

You are examining a patient with ?acromegaly). a. How can a pituitary tumor affect the cranial nerves? (two mechanisms) What cranial nerves can be affected? Upward growth: affect the optic chiasm: cranial nerve II Lateral growth into the cavernous sinuses: Cranial nerves III, IV, V1, V2, VI b. How do you examine the patient for damage to these nerves? Cranial nerve II: visual acuity, visual fields (including red pin) looking for bitemporal hemianopsia, PERLA (looking for RAPD), fundoscopy (R/O optic disc pallor) Cranial nerves III, IV, VI: EOMS (diplopia) Cranial nerve V1, V2: sensation forehead and cheek, corneal reflex

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