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Neuro Exam- MG
Question | Answer |
---|---|
Autoimmune disorder where impulses can't cross neuromuscular junction d/t damaged | acetylcholine receptors |
MG affects voluntary muscles. Weankess ______ with activity | worsens |
MG is purely a _____disorder | motor |
MG is individualized. Course is ________ | unpredictable |
Most commonly affects young adult women ages _____and men _____ but can occur at any age | 20-40 F and 60 M |
80% of patients with MG will have either thymic hyperplasia or thymic tumor, because | Thymus is the site of acetylcholine antibody production |
Earliest s/s of MG involve | eye or occular muscle (ptosis or diploplia) |
Muscle weakness in the diaphragm and intercostal muscles lead to increased r/o | RR failure, pneumonia |
Laryngeal involvement can lead to | dysphagia, dysphonia |
Neuro exam with MG will include normal _____ test | sensory |
Diagnosis is confirmed by ________ test. Detects acetylcholine receptor antibodies. | Tensilon |
In this test, ________ is given IV. 30 seconds after injection, facial muscle weakness and ptosis resolve for 5 minutes. | Tensilon |
What must be on hand to control SE of Tensilon test? | Atropine |
What is significant SE of Tensilon test? | Bradycardia |
MRI or CT will show ____ in 90% of cases | Enlargement of thymus gland |