Dysautonomias Flashcards
1
Q
Shy-drager syndrome- Eti/ sx
A
- Multiple system atrophy
- Vocal cord dysfunction
- Stridor
- Parkinsonism
- Cerebella
- Severe autonomic dysfunction
- Incontinence
2
Q
Shy-drager syndrome- Dx
A
- Cerebellar and pontine atrophy
- Sleep/ stridor eval
3
Q
Shy-drager syndrome- Tx
A
- Avoid heat exposure
- Tx orthostasis, incontinence and anhidrosis
4
Q
Orthostatic HTN- Def
A
- Decline in BP
- 20 SBP
- 10 DBP
- Faulty valves, ANS-
5
Q
Orthostatic HTN- Tx
A
- Discontinue meds
- Stand gradually
- Tx underlying cause
6
Q
Vasovagal syncope- Def
A
- Fainting
- Precipitated by emotions, pain, blood, fatigue
- Diaphorese, nausea, lt headed
- Vaguely mediated- decrease in BP and HR
- CNS hypoperfusion, syncope
- Brief tonic-clonic mvmt
- 30-60 sec prodrome, quick recovery
7
Q
Vasovagal syncope- Tx
A
- Avoid precipitating factors
- Hydration, salt tabs
- Alpha agonists
- Beta blockers
8
Q
Ehlers-Danlos syndrome- Def
A
- Genetic condition affecting collage synthesis
- Autosomal dominant
- Reduced life-span- spontaneous rupture of internal organs, arteries, intestines
- Fragile skin, hypermobile joints,
- Orthostasis
- Thin nose and hallow cheeks
- Hypermobile autonomic disfunction
9
Q
Ehlers-Danlos syndrome- Tx
A
- Surgical repair- tighten joint ligaments
- Eval regularly for aneurysms
10
Q
Ortho HTN-
A
Neurogenic- GBS, syhilis, autonmoic neuropathy
- CHF, adrenal insufficiency, hypovolemia
