FND Flashcards
FND is the ___________ common neurologic disorder
affects what gender more?
second most common
Women 3:1
T or F: FND is a diagnosis of exclusion
F, it is diagnosed by “Rule in” signs
FND was coined when
2014
What are the 4 signs and symptoms of FND
Variable
Distractable - distraction improves performance
Entrainable- Can adapt to different external rhythms
Suppressible
T or F: FND is a wastebasket diagnosis
F, it is not a wastebasket diagnosis
not feigning or faking it, and it is also not a purely psychiatric condition
DMS-5 criteria for FND
1 or more symptoms of altered voluntary motor or sensory function
Clinical findings providing evidence of incompatibility between symptoms and pt’s recognized conditions
T or F: A psychiatric co-morbidity or prior stressful event is required for diagnosis
F, only rule in signs help with diagnosis
How will a pt’s history present with FND
Waxing/Waning of symptoms
complete remission at times
altered movement types
migration through body (moves to different body parts)
What tests are positive with hoover sign
Entrainment test- it changes rhythm with external stimulus
Whack a mole sign- if you stop the movement at one body area it moves to another
Hoover sign- hip ext with opposite hip flexion, but otherwise unable to use that hip
Drift without pronation
Monoplegic leg drag: weak leg dragged without circumduction (no compensation movements)
with FND, drawing attention to that body part will make the symptoms:
worse
Pt w/ regular pattern/rhythm
not distractable
slow onset
CNS or PNS patterns of sensory/motor loss
May change with medication
NOT FND
What co-morbid diagnosis often appear with FND
Autism
EDS/hypermobility
Chronic pain
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