MND Flashcards
1
Q
What are the common examination findings?
A
Mixed UMN and LMN signs
- Inspection - wasting, fasciculations
- Tone - Increased or reduced
- Reflexes - Increased or reduced. can have upgoing plantars
- Sensation - Normal
- Co-ordination - Normal
- Also bulbar symptoms
2
Q
What are the investigations?
A
- To finish the exam i would like to do - Upper/lower limb exam and cranial nerves
- By the bed - History, obs -
- MRI to rule out other causes
- Nerve conduction studies
3
Q
What are the key investigation findings?
A
Muscle weakness and death on nerve conduction studies
4
Q
What is the treatment?
A
- Conservative - Education, refer to MND society. MDT approach - Physio and OT, palliative care,
Monitor Respiratory function
- Medical - Riluzole, manage symptoms
5
Q
What are the risk factors?
A
Unknown
Small genetic element
