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20 Cards in this Set
- Front
- Back
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__ is an acute inflammatory polyneuropathy.
-Gb -ms -als |
GB
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in over 2/3 of patients, a preceding __ illness is followed in 1-3 weeks by an ascending paralysis, areflexia with mild sensory involvement.
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viral
GB |
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what type of viruses are indicated in the initiation of GB?
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campylobacter jejuni
cmv ebv and mycoplasma pneumonia |
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what do most cases of GB begin with? (kochar)
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numbness
paresthesia weakness in distal extremities, with rapid ascending (proximal) paralysis |
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how is GB diagnosed?
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clinically supported by ncv that shows evidence of demyelination and LP showing raised protein
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what percentage of patients may require ventilatory support? (cox)
-50% -45% -30% |
30%
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what is the treatment of GB?
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IVIG
plasmaphoresis is started within a week of disease |
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what will the csf of a GB patient show you?
-increased wbc -increased protein -increased pressure |
increased protein levels
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how are the reflexes of a GB pt? (kochar)
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hyporeflexic or absent
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is muscle weakness in GB...
-symmetric -asymmetric |
symmetric
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GB is an autoimmune attack on the __.
-myelin -ANS -pons |
myelin
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__ is an acute inflammatory disease of the peripheral nerves (meganotes)
gb ms md |
gb
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t/f
most GB patients recover spontaneously |
true; it can be hastened by IVIG or plasmaphoresis
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GB pt's develop rapidly pregressive sensory sx's such as unusual __ and numbness, and motor sx's such as weakness and cramping in their legs followed by their arms.
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paresthesias
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what are causes of CTS?
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myxedema
idiopathic pregnancy menopause ocp's acromegaly amyloidosis gout rheumatoid arthritis |
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CTS is median nerve compression as it travels under the __ retinaculum
-flexor -extensor |
flexor
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what are the s/s of CTS (cox)
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thenar wasting
pain tingling in hand, arm, and lateral 31/2 digits worse at night |
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what do pt's report that relieves their symptoms?
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shaking their hands
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myxedema
acromegaly pregnancy ocp's menopause idiopathic amyloidosis gout...all cause what |
cts
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what is the treatment of bell's palsy?
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predisone
acyclovir CT |
