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hey everyone its sarah register nurse rn.com and in this video im going to talk about chabot stick sign so lets get started chavats excite is a specific type of facial muscle twitching that occurs when cranial nerve 7 the facial nerve is manually stimulated and this demonstrates hyperexcitability of the facial nerve it tends to be associated with patients who are experiencing hypocalcemia so a low level of calcium in the blood because many times these patients are experiencing irritability of their nerves and muscles it can also be seen in patients who have a low magnesium level so how do we assess for tavat six time well were looking for either a positive sign or a negative sign positive means they have it negative means they do not so first you want to identify the location of the masseter muscle on the patient which is located at the jaws angle next you want to tap on this muscle and assess the response of the facial muscles on the side that was manually tapped if its positive