Cerebellar examinaion Flashcards
1
Q
What are the introductory steps for a cerebellar exam?
A
- Wash hands
- PPE
- Introduce self
- Check patient name and DOB
- Explain examination
- Gain consent
2
Q
What is the first thing to check in a cerebellar exam?
A
Speech.
3
Q
How is speech assessed?
A
- Get patient to say “C,C,C,C” and “L,L,L,L”
- Get patient to say “British Constitution”.
4
Q
What comes after speech assessment?
A
Intention tremor.
5
Q
How is intention tremor assessed?
A
- Finger (examiner) to nose (patient) test.
6
Q
What is assessed after intention tremor?
A
Nystagmus.
7
Q
How is nystagmus screened for?
A
H test. Observe for nystagmus.
8
Q
What comes after nystagmus screening?
A
Dysdiadochokinesis.
9
Q
How is dysdiadochokinesis screened for?
A
Palm and dorsal aspect of hand against palm of other hand repeatedly and rapidly.
10
Q
What comes after screening for dysdiadochokinesis?
A
Gait testing.
11
Q
How is the patients gait tested? What can be picked up on?
A
Get patient to walk both normally and heel to toe. Observe for:
- Ataxic gait.
- Wide stance.
12
Q
How is a cerebellar exam concluded?
A
- Thank the patient.
- Wash your hands.
