Cerebellar & Eyes Examination Flashcards

1
Q

What is involved in a cerebellar exam?

A
General
Gait
Upper limb
Eyes
Speech
Lower limb
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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
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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
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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
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5
Q

What does an eye examination involve?

A
Inspection 
Visual acuity
Visual fields
Pupillary reflexes
Eye movements
Fundoscopy
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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)

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7
Q

What do you test after visual acuity?

A

Visual fields and hemisensory neglect
Pupillary reflexes (accomodation, pupillary light, swinging light
Eye movements

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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
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