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Neuromuscular
neuro
Question | Answer |
---|---|
R or L CVA? Decreased attention span | Right |
Deceased awareness and judgement? R or L CVA? | Right |
Memory deficits? R or L CVA?? | Right |
Left inattention? R or L CVA? | Right |
Decreased abstract reasoning? R or L CVA? | Right |
Emotional lability? R or L CVA? | Right |
Impulsive behavior? R or L CVA | Right |
Decreased spatial orientation | Right |
Increased frustration? R or L CVA? | Left |
Decreased processing? R or L CVA? | Left |
Possible aphasia? R or L CVA? | left |
Possible dysphagia? R or L CVA? | Left |
Possible motor apraxia? R or L CVA? | Left |
Decreased discrimination between l and r? R or L CVA? | Left |
Impulsive behaviors? R or L CVA? | Right |
Anterior Cord Syndrome | Loss of motor function and pain and temperature |
Brown-Sequard's Syndrome | Paralysis on same side, loss of pain and temperature on the opposite side |
Central Cord Syndrome | UE greater than LE, greater motor than sensory |
Cauda Equina | Below L1, flaccidity, areflexia, impaired B |
Posterior-Cord Syndrome | Loss of sensory; motor function is preserved |
Glasgow Coma score = severe | 8 or less |
Glasgow Coma score = moderate | 9-12 |
Glasgow Coma score = mild | 13-15 |
Antiepileptic Agents - Action, SE, Examples | -Reduce or eliminate seizure activity within the brain -Ataxia, skin issues,behavioral changes, gi disress, headache, blurred vision, weight gain -Dilantin, Tegretol |
Antispasticity Agents - Action, SE, Examples | - Promote relaxation in a spastic muscle - drowsiness, confusion, headache,dizziness, muscle weakness, -Baclofen, Valium, Dantrium |
Dopamine Replacement Agents - Action, SE, Examples | -Assist to relieve the symptoms of Parkinson's -Arrhythmias, GI distress, OH, dyskinesias, mood and behavioral changes, tolerance -Sinemet, Lavodopa |
Muscle Relaxant Agents - Action, SE, Examples | -Promote relaxation in muscles -sedation, drowsiness, dizziness, nausea, vomiting, headache, tolerance, dependence -Valium, Flexeril |
Amyotrophic Lateral Sclerosis - what it is, S&S | -Chronic degeneration disease affect upper and lower motor neurons -LM: muscle weakness, fasciculations, cramping, atrophy UM: incoordination of movement, spasticity, clonus, positive Babinski reflex |
Myasthenia Gravis - what it is, S | -A defect in the transmission of nerve impulses to the muscles at the NM junction -Extreme fatigue and mm weakness that fluctuates, ocular muscles affected first, Dysphagia, dysarthria, cranial nerve weakness -Focus on pulmonary interventions |
Berg Balance test | max score of 56, score less than 45 = risk for falling |
Functional reach test | Less than 10.5=fall risk |
TUG test | >20 sec increased fall risk <30 sec high fall risk |
Tinetti | less than 19=high fall risk |
Dilantin | Antiepileptic agents reduce or eliminate seizure activity within the brain SE-blurred vision, headache, ataxia |
Tegretol | Antiepileptic agents reduce or eliminate seizure activity within the brain SE-blurred vision, headache, ataxia |
Baclofen | Antispasiticy agent SE-drowsiness, generalized muscle weakness |
Valium | Antispasiticy agent SE-drowsiness, generalized muscle weakness |
Dantrium | Antispasiticy agent SE-drowsiness, generalized muscle weakness |
Sinemet | Dopamine replacemetn agent SE: arrhthmias, GI distress,dyskinesias, mood and behavioral changes |
Flexeril | Muscle relaxant agents SE: SE-drowsiness, generalized muscle weakness |
Spinothalamic tracts | light touch, pressure, pain and temperature |
spinocerebellar tracts | proprioception |
Reticulospinal tract | Reflexes |
Rubrospinal tract | Postural tone |
Tectospinal | Contralateral postural muscle tone assoc. with auditory visual stimul |
Whats the highest level of SCI can use a sliding board? | C5 |
Presents with cycles of exacerbation/remission with long periods of stability; may have minimal long-term impairment | Relapsing-remitting MS |
Progresses from onset with no or occasional plateaus; may experience temporary, minor improvements | Primary-progressive MS |
Begins as relapsing-remitting MS and turns into progressive course | Secondary-progressive MS |
Progressive course with periodic acute relapses; loss of function and progressive worsening with each exacerbation | Progressive-Relapsing |
What artery is occluded to present symptoms such as personality changes, paraplegia, incontinence, akinetic mutism (i.e. conscious unresponsiveness.) | Anterior cerebral artery |
What artery is occluded to present symptoms of contralateral hemiplegia and sensory impairment, aphasia | Middle cerebral artery |
What artery is occluded to present symptoms of thalamic pain syndrome and cortical blindness. Thalamic pain presents with abnormal sensation of pain, temperature, touch, and proprioception | Posterior cerebral artery |