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5 Cards in this Set
- Front
- Back
Guillain barre syndrome |
Acute demyelination polyneuropathy |
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Causes of GBS |
Occurs after 1-4/52 after precipitating event Infection campylobacter jejuni, cmv, ebb, hiv, vaccinia Others lymphoma sle |
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Clinical features |
-Parasthesia hands and feet - progressive ascending symmetrical motor weakness of > 1 limb days - weeks -areflexia -limb pain on passive movement -cn involvement in 50% Vii most common -autonomic dysfunction
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Investigation |
csf- protein > 0.4, normal csf cell count Bloods abg Resp function tests EMg
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Management |
Mechanical ventilation 1/3 Ivig 2g/kg for 5 days or plasma exchange plasmapheresis AVOID sux ( assoc with sudden death) |