autonomic disorders

Question 1

what is a sign of advanced autonomic failure

Answer 1

orthostatic hypotension

Question 2

orthostatis hypotension is ____drop in SBP, ____drop in DBP

Answer 2

20; 10

Question 3

most popular pharmacologic intervention for tx of orthostatic hypotensio

Answer 3

midodrine

Question 4

autonomic failure of orthostatic hypotension, impotence, bladder/bowel dysfxn, reduced sweating, parkinsonism, cerebellar dysfxn

Answer 4

multi system atrophy AKA shy-drager syndrome

Question 5

acute ascending paralysis, arreflexia, elevated CSF protein, tachyarrhytmia, bradycardia, urinary retention

Answer 5

guillain barre

Question 6

pandysautonomia rapidly with progression over weeks, elevated CSF protein

Answer 6

acute autonomic neuropathy

Question 7

malignancy with dysautonomia

Answer 7

paraneoplastic syndromes

Question 8

most common type of paraneoplastic syndrome

Answer 8

lambert-eaton myasthenic syndrome

Question 9

dysethesias, lancinating pain, autonomic neuropathy

Answer 9

subacute sensory neuropathy

Question 10

abrupt constipation, crampy abdominal pain, vomiting

Answer 10

enteric neuronopathy

Question 11

diabetic autonomic neuropathy presents with what sort of GI sx?

Answer 11

dysphagia, post prandial bp drop

Question 12

diabetic autonomic neuropathy presents with what sort of sudomotor dysfxn?

Answer 12

dry, cold, shiny, hairless distal skin

Question 13

postural related tachycardia without change in bp

Answer 13

postural orthostatic tachycardia syndrome

Question 14

inappropriate sweating that tends to be familial

Answer 14

hyperhydrosis