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Neuro Exam- MS

QuestionAnswer
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
Created by: mreedy