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18 Cards in this Set

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__ is a chronic neurological condition characterized by CNS demyelination that causes a wide range of deficites at different times and in different sites thruout the CNS.

-MS
-GB
-MD
multiple sclerosis
what sites in the brain are commonly affected by lesions?
cerebellum
optic nerve
cervical cord
medial longitudinal fasciculus (internuclear ophthalmoplegia)
what are common complaints when you illicit a pt. history with MS?
visual blurring
eye discomfort
diplopia
unsteadiness
falls
clumsiness
easkness/numbness
worse with heat
neck flexion and shooting pains
problems with micturition
spastic bladder
optic atrophy seen in MS can cause what problems?
diplopia
nystagmus
internuclear opthalmoplegia
eye discomfort
all of the following except one are signs of cerebellar problems.

-ataxic speech
-intention tremor
-unsteady gait
-limb weakness
-broad based gait
limb weakness is a result of cervical myopathy
what are the cervical myelopathy s/s of MS? all but one.

-limb weakness
-stiffness/numbness
-increased tone
-unsteady gait
-brisk reflexes/clonus
-upgoing plantars
unsteady gait is a cerebellar sign
t/f

the MS pt will have absent abdominal reflexes
true
what are secondary problems of MS?
UTI
pressure sores
depression
reduced mobility
what are common dx/dx of MS?
multiple strokes
vasculitis
metastases
neurosarcoid
the most commonly affected sites of MS lesions are all except....

-optic nerve
-cerebellum
-cerebrum
-cervical cord
not the cerebrum
what is Lhermitte's symptom (can also be found in B12 deficiency & cervical spondylosis)?
shooting pain upon neck flexion
MS may be slowly progressive or marked by __ & remissions
relapses
visual blurring and eye discomfort are signs of ??

-cellulits
-retinal detachment
-optic neuritis
optic neuritis
what is a good med for the treatment of spasicity in MS?

-flexeril
-baclofen
-soma
baclofen
by checking the visual acquity, color vision, pupillary reaction, and the appearance of the optic disc, what are you checking for?
optic nerve
by examining gait, posture,a nd co-ordination (finger-nose) you are checking for ?
cerebellar function
failure to adduct the eye on lateral gaze with nystagmus of the abducting eye...is called?
internuclear ophthalmoplegia
multiple CVA's in young adults from illnesses such as??
phospholipid antibody syndrome