hi I'm David
and today can I ask your name and date
of birth please my name is grace
Farrington I was born on the 26th of
January 1990 okay grace I'd like to test
your coordination today it's going to
involve me watching you walking and
moving your arms and legs and also
testing your eyes would that be okay
yeah okay so I'm going to start by
asking you to walk for me so if you
start by just walking towards this wall
for me
that's right and just turn and now if
you can walk with one foot in front of
the other back to the other wall that's
great thank you I'm going to test your
balance now okay so if you can just put
your arms down by your side and your
feet together that's great I'm just
going to put my arms out if you feel
unsteady so if you can just close your
eyes for me now okay and open them up
I'm just going to ask you to repeat a
few words for me to test your speech
okay the first one is British
Constitution and baby hippopotamus just
going to ask you to follow my finger
with your eyes try and keep your head as
still as you can okay
you
so now if you can touch my thing
index finger of your right hand and
touch your nose and touch my finger
again and keep going back and forth good
good and the same with the other finger
in the other hand and touch your nose
that's great
now if you can put your arms out
straight for me like this okay
and if you can close your eyes and I'm
going to push down on your arms on
either side just try and keep your arms
up for me
so I'm just going to move your arm
around now if you let me just take the
weight and just go fluffy have you got
any pain in your arm at all no okay
that's fine
okay and the same on the other side
can you place one of your hands on top
of the other like this for me and just
turn the top hand over and just turn it
back over again and just keep doing that
back and forth that's it as quick as you
can good and the same with the other
side so put your hand on top of it turn
it over and keep going back and forth as
quick as you can good so I'm going to
test your reflexes now it's going to
involve me just tapping your knees on
both sides okay
okay so now if you can just swing your
legs around on the bed I'll sit and just
lie down if you can just place this heel
on that knee for me and then just run it
down the front of your leg lift it up
and then go back to the knee and just
keep doing that that's great
and just relax now if you take this heel
and put it on that knee run it down your
leg lift it up and just keep doing that
thank you very much that completes the
exam thank you thanks a lot
today I performed a cerebellar
examination on Grace a 27 year old lady
on assessment of the gate there was no
evidence of a broad-based ataxic gait
there was no loss of coordination in the
trunk or limbs and no evidence of
nystagmus in the eyes in summary this is
a normal cerebellar examination to
complete my examination I'll do a full
neurological examination of the upper
and lower limb and the cranial nerves
you