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18 Cards in this Set
- Front
- Back
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Parkinsons |
Bradykinesia> bradyphrenia rigidity- leadpipe/cogwheel resting tremor postural instability |
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Bradykinesia may lead to |
akinesia= freezing gt episodes> festinating gt (anteropulsive and retropulsive) -decreased amplitude and mvmnt |
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Pt also has |
orthostatic hypostension, depression/anxiety insomnia (active dreams, somnolence daytime-naps, decreased blinking, mask like face=hypomimia, increased drooling (sialorrhea), decreased swallowing - disphagia>aspiration pneumonia pneumonia= restrictive lung disease= decreased vital capacity, GI upsets, constipation, muskuloskeletal imbalances |
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Musculoskeletal imbalances |
tight (stretch): trunk flexors, shld add/ir, elbow flex, hip and knee flex, hip add, PF weak (strengthen): trunk ext, shld abd/ER/flex, elbow ext, hip and knee ext, hip abd, DF |
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autonomic |
OH seborrhea psoariasis |
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meds |
Levadopa/carbidopa (sinemet)= GDD standard monoamine Oxidase B inhibitors -decreased arm swing>dec reciprocal mvmnt>rotation>increased energy expenditure>fatigue Dopamine agonist= s/s- hallucinations anti-cholinergies- adv affectes= dry mouth |
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dec automatic responses and osteoporosis can lead to> |
postural adjustments falls and fx equilibrium reactions |
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MS |
MS |
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MS demographics |
Female>male 20-40% autoimmune with a latent virus component northern areas greater incidence |
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demyelinating |
inflammation>remyelination>repeated attacks>relapses>periods of no attack (remissions>gradual demylination>scarring (gliosis)>sclerosis in plaques |
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Cardinal s/s |
intention tremor, scanning speech, nystagmus other s/s: fatigue, psuedoexacerbation= w/ heat= Uthoff's pain: burning (dysesthesias), trigeminal neuralgia, lhermitte's (flex neck-shooting pain to extremities) spasticity: LE>UE extremities headaches, musculoskeletal pain |
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sensory issues |
parasthesia numbness dec pain and temp dec proprioception chronic pain> may lead to PI |
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visual issues |
optic neuritis nystagmus diplopia |
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education for MS pt |
skin care energy cons postural ed |
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MS pt shows |
kinetic/intention tremor> hand Postural/static tremor>arm/ body -bal and coord deficits, ataxic gt |
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meds |
corticosteroids -adverse effects= HTN, hyperglycemia=DM, osteopenia -TX acute disease relapses (exacerbations) - does not modify disease course |
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Disease modifying meds |
interferon- slow down immune system - dec infl, flu s/s |
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Meds for spasticity |
baclofen s/s- drowsy, weak, fatigue |
