cerebellar exam Flashcards

1
Q

introduction

A

exposure

any pain

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2
Q

general inspection

A

around the bed- walking aids

patients posture

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3
Q

gait

A

broad based gait in cerebellar disease
stability
stagerring, slow, unsteady gait

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4
Q

heel toe walking

A

cerebellar vermis function

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5
Q

what phrases should be said

A

british constitution

baby hippopotamus

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6
Q

what might you see when assessing nystagmus

A

dysmetric saccades

impaired smooth pursuit

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7
Q

finger nose test

A

patient must have to fully outstretch their arm

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8
Q

how do assess tone in the legs

A

leg roll and leg lift

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9
Q

what reflexes would you find in cerebellar disease

A

pendular

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10
Q

what are the signs of cerebellar disease

A
dysdiadochokinesia
ataxia
nystagmus
intention tremor
slurred speech
hypotonia
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11
Q

what does a pronator drift indicate

A

upper motor neurone lesion

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12
Q

what are the stages of exam

A
general inspection 
nystagmus
speech 
tone (arms)
coordination (arms and legs)
standing ataxia
gait
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13
Q

how do you test nystagmus

A

h test

resting gaze

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14
Q

how do you test coordination

A
tremor
dysdiadochokinesia
cerebellar drift
cerebellar rebound
finger nose (dysmetria)
heel to shin

(6)

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15
Q

how do you test for ataxia

A

rombergs (eyes open and closed)

feet must be together

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16
Q

how do you test gait

A

stand up
walk across room
heel toe