2.6 Lundy Ch. 2 (4) Flashcards

1
Q

PNS demyelination often results in

A
  • disrupted proprioception

- weakness

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2
Q

Guillain-Barré

A
  • antibodies attack Schwann cells

- usu 2-3 weeks after mild infection

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3
Q

Guillain-Barré s/s

A
  • decreased sensation
  • skeletal paralysis
  • pain, hypersensitivity
  • cranial nerves of face may be affected
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4
Q

Guillain-Barré course

A
  • rapid onset
  • plateau
  • gradual recovery (usu complete)
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5
Q

severe cases of Guillain-Barré (recovery)

A

may have cardiorespiratory problems

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6
Q

Guillain-Barré treatments

A
  • plasmapheresis
  • IV immunoglobulin therapy

**remove or neutralize antibodies that are attacking the cells

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7
Q

PT for Guillain-Barré

A
  • acute: ROM

- recovery: strengthening, functional mobility

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8
Q

CNS demyelination

A

damage to myelin sheaths in brain and spinal cord

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9
Q

MS

A

multiple sclerosis

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10
Q

What happens in MS?

A

immune system attacks oligodendrocytes, producing plaques

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11
Q

plaques

A

patches of demyelination

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12
Q

MS s/s

A
  • weakness
  • lack of coordination
  • impaired vision
  • impaired sensation
  • slurred speech
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13
Q

MS age of onset

A

20-40

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14
Q

types of MS

A
  • relapsing/remitting
  • secondary progressive
  • primary progressive
  • progressive relapsing
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15
Q

Deficiency in this may result in greater likelihood of developing MS

A

vitamin D

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16
Q

MS more common in (men/women)

A

women

17
Q

PT treatment of MS

A
  • maintain and improve function when possible
  • avoid high temp, excessive exertion
  • regular exercise
  • stress mgmt