Cerebellar & Eyes Examination Flashcards
1
Q
What is involved in a cerebellar exam?
A
General Gait Upper limb Eyes Speech Lower limb
2
Q
What do you assess while standing for cerebellar exam?
A
Gait and tandem walk Romberg's test Cerebellar rebound Dysdiadokinesia Finger nose Upper arm tone
3
Q
What do you do after upper limb tests in cerebellar exam?
A
Eyes: H test (nystagmus) Fist palm (saccadic) Speech: Baby hippopotamus British constitution West register street Tell me how you make a cup of tea (staccato) Lower limb coordination: Heel shin test Lower limb tone
4
Q
Causes of cerebellar syndrome
A
Stroke Alcohol (Wernicke, Korsakoff or acute intoxication) + B1 deficiency Drugs (phenytoin) MS Hereditary ataxia Tumours of posterior fossa Metastatic lung disease Infection (herpes/legionella) Hydrocephalus
5
Q
What does an eye examination involve?
A
Inspection Visual acuity Visual fields Pupillary reflexes Eye movements Fundoscopy
6
Q
How do you test visual acuity?
A
Each eye in turn, w/glasses if needed
Snellen chart
Near vision
(if unable, count fingers/hand movements/light perception)
7
Q
What do you test after visual acuity?
A
Visual fields and hemisensory neglect
Pupillary reflexes (accomodation, pupillary light, swinging light
Eye movements
8
Q
How do you assess fundoscopy?
A
Dark room Dilated pupils (tropicamide eye drops) Get pt to fixate on object Red reflex Optic disc Macula Vessels Periphery
