Examination Neuro

Question 1

Inspection

Answer 1

eyes approximately the same size

Intermittent misalignment
of the eyes may be normal up to about 4 months. After that needs referral

Constant misalignment
of the eyes is always abnormal at any age – needs a referral

Nystagmus
needs referral at any age

Ptosis
is usually benign and self-limiting but may represent at Horner’s syndrome (check pupils) or be an III palsy (check eye movements and pupils) or be visually significant if reaches the midline. Refer if any concerns

Question 2

Cranial Nerves
Optic Nerve

Before AFROH You need to

Answer 2

Check for a squint by asking patient to cover one eye

Question 3

Cranial Nerves
Optic Nerve

Managing a squint?

Answer 3

Patch