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13 Cards in this Set
- Front
- Back
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Describe MS
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chronic, progressive, degnerative disorder of the CNS characterized by disseminated demyelination of nerve fibers of the brain and spinal cord
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How does MS progress?
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slowly, some patients even have remissions and exasserbations
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What are the general manifestations of MS?
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depends on where the plaques are in the CNS
motor, sensory, cerebellar and emotional problems |
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What in particular are some of the motor manifestations of MS?
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weakness or paralysis of limbs, trunk or head
diplopia scanning speech spasticity of muscles |
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What are some of the sensory manifestations of MS?
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numbness and tingling and other paresthesias
patchy blindness (scotomas) blurred vision vertigo tinnitus decreased hearing chronic neuropathic pain |
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What are the cerebellar manifestations of MS?
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nystagmus, ataia, dysarthria, dysphagia
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What are the categories of drugs that are used for MS?
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corticosteroids
immunomodulators immunosuppressants cholinergics anticholinergics muscle relaxants cns stimulants antiviral/antiparkinsonian |
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What symptoms are relieved from corticosteroids used for treatment of MS?
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exacerbations
-watch for weight gain, edema, euphoria |
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Give an example of an immunomodulator used for treatment of MS.
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b-interferon
se: flu like symptoms, local skin reactions, depression, monitor CBC, blood chem, liver function test q 3 months |
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What are the name of the immunosuppresant drugs that are used to treat MS?
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Imuran
Cytoxan |
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What is the most common type of MS? Describe it.
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Relapsing-remitting...clearly defined relapses with full recovery or sequelae and residual deficit on recovery
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How is MS diagnosed?
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No definitive dx test
history, manifestations,MRI for lesions |
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What are the non pharmacological treatments for MS?
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diet (balanced and high in protein)
vitamins rehab |
