Term
| What is s/s multiple sclerosis? |
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Definition
Vague symptoms initially
Muscle weakness to paralysis of the limbs
Numbness, tingling
Diplopia, blurred vision, patchy blindness (scotoma)
Nystagmus, ataxia, dysarthria, dysphagia
Spastic bladder
Flaccid Bladder
Sexual dysfunction |
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Term
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Definition
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Term
| What is multiple sclerosis? |
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Definition
| chronic, progressive degenerative disorder of the CNS characterized by disseminated demyelination of nerve fibers of the brain and spinal cord |
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Term
| what are the meds for MS? |
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Definition
: Immunosuppresants: Cytoxan
Immunomodulators: Interferons
Antispasmodics: Bathanechol
Corticosteroids: Prednisone, Methylprednisone |
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Term
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Definition
| low fat, gluten free, raw vegetables |
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Term
| what is parkinsons disease? |
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Definition
chronic degenerative disorder with no acute exacerbations
Etiology: degeneration of Dopamine producing neurons in the substantia nigra. |
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Term
| what are the s/s of parkinsons? |
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Definition
| 1/ rigidity 2. tremors 3.bradykinesia |
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Term
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Definition
| easy chewed, soft foods, provide privacy |
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Term
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Definition
Levodopa, Artane( congentin)
Anticholingeric meds |
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Term
| what is myasthenia gravis? |
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Definition
autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups.
Antibodies attack acetylcholine receptors, decreased number of Ach at the neuromuscular junction |
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Term
| what are s/s myasthenia gravis? |
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Definition
| muscle weakness: diff swallowing, breathing |
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Term
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Definition
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Term
| meds for myasthenia gravis |
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Definition
| Anticholinesterase drugs, Neostigmine , Corticosteroids, Immunosuppressants. |
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Term
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Definition
| Thymectomy: thymus produces more antibodies that destroy Ach, so removal prevents the antibodies |
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Term
| what is myasthenia crisis? |
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Definition
| acute exacerbation of muscle weakness triggered by infection, surgery, emotional distress, drug overdose, or inadequate drugs. The major complications of MG result from muscle weakness in areas that affect swallowing and breathing |
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Term
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Definition
demyleniation of PNS ascending/ descending paralysis
-unknown |
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Term
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Definition
| Physical Exam, CT *patient has had a hx of viral infection |
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Term
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Definition
| Sandoglobulin , Antivirals |
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Term
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Definition
| *teach pt to call MD when feel tickle in their throat, tingling in toes/feet |
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Term
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Definition
rare progressive neurological disorder caused by loss of motor neurons
40-70 |
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Term
S/S ALS
is cognition intact? |
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Definition
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Term
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Definition
| Rilutek: decreases Glutamate |
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Term
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Definition
| reduce pain, reduce aspiration |
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Term
| what is huntingons chorea? |
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Definition
genetically transmitted
Deficiency of ACh and GABA
-cognition decline end to mentally retardation |
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Term
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Definition
| excessive involuntary movements, mental decline, psychosis |
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Term
| what is trigeminal nuerolgia? |
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Definition
uncommon cranial nerve disorder
-rule out stroke |
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Term
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Definition
| stabbing knifelike pain on one side of the face, Abrupt excruciating pain on the lips, cheek, upper and lower gums, forehead, side of the nose, Twitching, grimacing, frequent blinking, Unilateral facial sensory loss |
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Term
| Cause trigeminal neuralgia |
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Definition
| : Irritation at the trigeminal nerve root, Compression of the blood vessel, Herpesvirus, Teeth and jaw infections |
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Term
| precipitating factors in Bells Palsy |
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Definition
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Term
| is bells palsy remission/exacerbation? |
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Definition
| *not remission/ exacerbation: may happen once and never happen again |
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Term
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Definition
| cant close 1 eye, drooling, rule out stroke |
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Term
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Definition
| antiviral, analgesics, corticosteroids |
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Term
| Chrohn's Disease..what is it? |
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Definition
| affect any part of the GI tract from the mouth to the anus |
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Term
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Definition
| : Bloody diarrgea, mucous in the stool, rectal bleeding,diarrhea, fatigue, abd pain, weight loss, fever |
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Term
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Definition
| immunosuppresants, antimicrobials: Biaxin, Flagyl, Bactrim |
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Term
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Definition
| can affect only colon and anus |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| diarrhea, cramps, dizziness, tachycardia, n/v, sweating, abd pain |
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Term
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Definition
| , minimize fluid, don’t drink until 30 min after meals, increase fiber |
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Term
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Definition
- Retrovirus
- Affects the T cells |
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Term
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Definition
- 1-6 months: flu-like symptoms, increased levels of CD4 cells(urevemia)
Most likely to catch
- Latent: 6-10 years: weak immune system |
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Term
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Definition
Chronic, systemic autoimmune disease
-inflammation of connective tissue in synovial joints
Periods of remission and exacerbation
Antibodies are formed known as the RF factor and deposited in the synovial joints |
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Term
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Definition
Stage 1: Early: no destructive changes on x-ray, possible x-ray evidence of osteoporosis
Stage 2: Moderate: x-ray evidence of osteoporosis with or without slight bone destruction, no joint deformities
Stage 3: Severe: x-ray evidence of cartilage and bone destruction in addition to osteoporosis, joint deformity, possible presence of soft tissue lesions
Stage 4: Terminal |
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Term
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Definition
fatigue, anorexia, weight loss, generalized stiffness
Pt experiences joint stiffness after periods of inactivity, morning stiffness, pain increases with motion, varies in intensity |
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Term
| 3 most common manifestations of RA |
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Definition
1. Rheumatoid nodules
2. Sjogren’s syndrome
3. Felty ‘s syndrome |
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Term
| what are the 7 dx RA pt must have before being diagnosed? (4 out of 7 pt must have) at least for 6 weeks |
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Definition
-Morning stiffness that lasts ≥1 hour
-Swelling in three or more joints
-Swelling in hand joints
-Symmetrical joint swelling
-Erosions or decalcification seen on hand
x-rays
-Rheumatoid nodules
-Presence of serum RF |
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Term
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Definition
Methotrexate (Rheumatrex)
Sulfasalazine (Azulfidine)
Antimalarial drug hydroxychloroquine
Leflunomide (Arava) |
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