30: GB - Mahoney

Question 1

normal Babinski

Answer 1

downgoing

Question 2

bacterial meningitis =
viral meningitis =
subarachnoid hemorrhage-elevated RBC =
GB =
MS =

Answer 2

raised neutrophils
raised lymphocytes
elevated RBC
normal WBC
raised lymphocytes

Question 3

normal CSF

Answer 3

WBC less than 5
RBC zero
Glucose 50-80 *greater than 2/3 of blood glucose
total prtn 15-60 mg/dL

Question 4

elevated prtn in the absence of white cells suggests a…

Answer 4

demyelinating polyneuropathy

(albumino-cytologic dissociation)

breakdwon of myelin releases prtn into the CSF

Question 5

prognosis GB

Answer 5

good. most pts recover within weeks to months. 35% have residual effects

Question 6

tx GB

Answer 6

plasmapharesis
IVIg
close medical support (respiratory and cardiac monitoring)

Question 7

NCS for GB

Answer 7

prolonged latency
decreased velocities
normal amplitude

findings are due to severe demyelination of peripheral nerves, which slows conduction of action potentials

Question 8

GB is preceded by a gastroenteritis __ of time

Answer 8

50%

Question 9

how is GB different from MS?

Answer 9

GB - PNS, acute

MS - CNS, chronic with exacerbations and remissions