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29 Cards in this Set
- Front
- Back
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__ is an immune-mediated destruction of myelin sheaths
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MS
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who is most likely to come down with MS?
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women 2:1
youg adults of northern european origin |
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what is the diagnosis of MS based on?
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2 of the following:
-2 attacks and clinical evidence of 2 separate lesions -2 attacks with |
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__ is an immune-mediated destruction of myelin sheaths.
-MS -GB -ALS |
multiple sclerosis
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which type of MS is described as "mild infrequent sensory exacerbations with full recovery"?
-relapsing remitting MS -benign MS -secondary chronic progressive MS |
benign multiple sclerosis
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which type of MS is described as "episodes of excerbations and remissions during which not all sx's resolve completely"
-benign remitting MS -relapsing remittant MS -secondary chronic MS |
relapsing remitting MS
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which type of MS is described as "there is no relapse in these pt's. dx begins with a slow progression of neuro deficits, gradually worsening over time, commonly include spastic paraparesis, cerebellar ataxia, urinary incontinence" ...
-relapsing remitting MS -secondary chronic progressive -primary progressive |
primary progressive
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which type of MS is described as "condition of pt's with relapsing/remitting dx that begins to gradually worsen over time with resulting accumulation of neuro s/s"
-benign MS -relapsing remitting MS -secondary chronic progressive -primary progressive |
secondary chronic progressive
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what may most likely be the initial complaint of a young person developing MS?
-diplopia -unable to walk on uneven surface -n/t of extremities |
unable to walk on uneven surface
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in which limb may n/t most likely be present in MS?
-lower legs -arms -any of the above |
any of the limbs may develop n/t
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what are other complaints that a pt may c/o?
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spastic paresis
diplopia tremor nystagmus urinary urgency/hesitancy |
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which is more helpful in visualizing lesions of MS?
-CT -LP -MRI |
mri is more helpful than CT
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what will an LP show you in a pt with MS?
-IgG -oligoclonal bands -both |
the immunoglobulin G titer which is oligoclonal band in nature; is highly suggestive of MS
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what is the treatment of MS?
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progression is not preventable
corticosteroids may hasten recovery from relapses interferon therapy may be of benefit |
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what will spep tell you?
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serum protein electrophoresis tell you the scatter image of proteins
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it has been shown that 1 out of every 5 pt's have a__ course.
-benign MS -relapsing remitting MS -secondary chronic progressive |
benign MS-mild disability w/o impact in their daily life.
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1 out of every 3 patients have a progressive dx, either from the onset or after long time suffering the ds. this evolution produce severe disability that limit seriously their quality __
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of life
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MS is not a fatal disease and do not limit __
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life expectancy
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__ is an inflammation, with accompanying demylination of the optic nerve, serving the retina of the eye.
-glaucoma -optic neuritis -cataracts |
optic neuritis
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what is a big hallmark of MS that causes blurred vision loss of visual acquity, loss of some or all vision of color, complete or partial blindness and pain behind the eyes, is what?
-catarcts -optic neuritis -conjunctivitis |
optic neuritis
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what is one of the most frequently presenting symptoms of MS?
-diplopia -n/t of extremities -optic neuritis |
optic neuritis
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optic neuritis typically affects people between what ages of __ & __.
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15-50
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studies indicate that more than __% of patients will convert from optic neuritis to MS within 15 years.
10 % 25 % 50% |
50%
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what are the main symptoms of optic neuritis?
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blurring of vision 58%
mild 34% moderate 12% severe or tatl loss of light 54% |
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t/f
optic neuritis is painless |
pain occurs in 53-88% of ON presentations
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what is the DOC for the tx of muscle spasicity in MS?
-flexeril -ativan -baclofen |
baclofen
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what are the tx''s for MS?
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steroids for acute excerbations
interferon's baclofen |
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will all MS pt's have UMN lesions?
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no, not all have hyperreflexia
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what is the findings in the brain of pt of MS?
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multiple scattered plaques
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