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Neuro Exam- MS
| Question | Answer |
|---|---|
| Autoimmune disorder. Genetic component. Chronic, progressive, degenerative, inflammatory disease of the CNS. | Multiple Sclerosis |
| Group most affected by MS | young women ages 25-35 (although can affect anyone) |
| In MS, ___ cells stay and promote infiltration of other agents that damage the immune system and lead to destruction of ________. | T, myelin sheath |
| Areas most effected by MS | Optic nerve, cerebrum, brain stem, cerebellum, spinal cord |
| 80-85% of MS pt will have this type | Type 1: Relapsing remitting |
| S/S depend on location and/or the combination of ________ | Lesions (plaques) |
| Test in which presence of many lesions (plaques) can be visualized | MRI |
| Test shows the presence of IgG molecules bonded together which indicates immune system abnormality. (Via lumbar puncture) | CSF analysis |
| Test can help define the extent of the disease process and monitor changes | Evoked Potential Testing |
| What lab tests are typically completed since UTI is common | blood and urine |
| Test for cognitive issues | Neuropsychological Testing |
| What is the cure for MS? | No cure |
| Two groups of drugs used primarily during periods of exaserbation. Phenomenal amounts used. Very severe SE | Corticosteroids and Immunosuppressives |
| Four drugs for MS and route | Avonex (IM), Betaseron (SQ), Copaxone (SQ), Rebif (SQ) |
| Baclofen, Valium, Zanaflex, and Dantrium given for | spasticity |
| Symmetrel, Cylert, Prozac given for | Fatigue |
| Inderal, Neurontin, Klonopin given for | Ataxia |
| NSAIDs, opiates, antidepressants, and antiseizure meds given for | Pain |
| Anticholinergics and antispasmodics given for | Bowel and Bladder |