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Muscoloskeletal Pathophysiology - Muscle Disorders
Pathology of the Muscoskeletal system
42
Physiology
Undergraduate 3
12/13/2013

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Cards

Term
What is a muscle spasm?
Definition
An involuntary contraction
Term
What can cause a spasm?
Definition
Lactic acid buildup during exercise
Term
What is a cramp?
Definition
Pain from spasm
Term
What causes this pain?
Definition
Reduced blood flow
Term
What is the cause of tetany?
Definition
Hypocalcemia
Term
What is the consequence of hypocalcemia?
Definition
Increased sodium permeability - therefore random depolarizaitons and contractions
Term
Name 3 things that could lead to hypocalcemia?
Definition
Term
What is trousseau's sign?
Definition
"Claw hand" due to hypocalcemia
Term
What is muscular dystrophy?
Definition
Muscle weakness
Term
What are the two causes of muscular dystrophy?
Definition
- Genetic problem
- Ion permeability abnormalities
Term
What occurs with the genetic problem?
Definition
- Defective dystrophin
Term
What is the role of dystrophin normally? How could problems with it lead to dystrophy?
Definition
- Links actin to myosin surface; control ion permeability
- Problems = compromised linkage = compromised contraction
Term
Why can ion permeability problems occur?
Definition
Because dystrophin also regulations ion permeability
Term
(T/F) Duchenne's is the most common type of musc dyst
Definition
True
Term
How is it inherited? What does this mean?
Definition
X-linked; males are more likely to get it
Term
Describe the course of Duchenne's
Definition
- Early onset
- Rapid progression
Term
What is seen in myotonic dystrophy? What might cause this?
Definition
- Delayed relaxation; ion permeability issues
Term
How is it inherited?
Definition
Autosomal dominant
Term
(T/F) myotonic dystrophy exhibits fast progression
Definition
False
Term
List other characteristics of muscular dystrophy common to both types
Definition
o ↑ creatine kinase
o muscle replaced by fat & connective tissue
o cardiomyopathy
o Gower’s maneuver
o vertebral deformities
Term
When does cardiomyopathy occur?
Definition
When muscular dystrophy occurs in the heart
Term
What is grower's manouver?
Definition
"climbing" legs to stand up, because of muscular weakness
Term
Why can vertebral problems occur?
Definition
Because muscles help keep the spine aligned, so weakened muscles can cause misalignment of the spine
Term
What is characteristic of fibroomyalgia syndrome?
Definition
Pain, stiffness in muscles and tendons WITH NO obvious inflammation
Term
(T/F) Joint stiffness is seen as well
Definition
False
Term
How many trigger points are there for FS? Do they all need to be triggered?
Definition
18
Term
(T/F) SF may accompany IBS
Definition
True
Term
What sex is more susceptible?
Definition
Females
Term
What 3 things aggravate FS?
Definition
o sleep deprivation
o stress
o fatigue
Term
What is speculated to be the cause, although not yet confirmed?
Definition
Substance P sensitivity - SubsP is linked with pain,so SubsP sensitivity means a stimulus will feel painful even though the action is not physically harmful
Term
What 2 things are used to treat FS?
Definition
- NSAID
- SSRI's (serotonin reuptake inhibitors)
Term
Why do SSRI's work?
Definition
Serotonin inhibits pain in neurons
Term
What is the cause of MG?
Definition
Autoimmune disease
Term
What two things contribute to MG?
Definition
- Ab to ACh receptor at NMJ
- Thymus hyperplasia
Term
Which sex is more susceptible?
Definition
Female
Term
What characterizes MG?
Definition
Muscle weakness, seen initially in the face
Term
List some symptoms of MG
Definition
- Muscle weakness
- Diplopia
- Ptosis
- Facial droop
- Difficulty swallowing
Term
What can induce myasthenia crisis?
Definition
Stress
Term
What 3 tests are used to diagnose?
Definition
- ACh Ab (not definitive)
- EMG
- Tensilon
Term
What is tensilon?
Definition
Short acting cholinomimetic
Term
What does EMG test for?
Definition
Muscle responsiveness to electrical stimulation
Term
List the 4 treatment options for MG
Definition
◦ AChE inhibitors
◦ thymectomy
◦ immunosuppressants
◦ plasmapheresis
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