MS Flashcards
describe MS?
inflammatory demyelinating disorder of the CNS
who gets MS more- male or female?
female
what can you get in MS which causes painful visual loss?
optic neuritis
what features of pyramidal dysfunction do you get in MS?
increased tone
spasticity
weakness
extensors of upper limb and flexors of lower limbs are weak
what sensory symptoms do you get in MS?
pain paraesthesia-tingling/pins and needles proprioception- dorsal column loss numbeness trigeminal neuralgia
what signs of cerebellar dysfunction do you get in MS?
ataxia intention tremor nystagmus past pointing pendular reflexes dysdiadokinesis- cant perform rapid altering movements dysarthria- speech problems
what signs of brain stem dysfunction can you get in MS?
diplopia- double vision
facial weakness- facial nerve plasy
signs of internuclear ophthalmoplegia?
distortion of binoccular vison
failure of adduction
nystagmus in abducting eye
lag
signs of urinary tract dysfunction?
frequency nocturia urgency urge incontinence retention
is fatigue a big thing in MS?
YES YES YES!!
what do they have to have to suggest a diagnosis of MS?
at least 2 episodes suggestive of demyelination
dissemination in time and place ( 2 different dates and times)
mcdonald criteria
differential possibilities when you think of MS?
vasculitis granulomatous disorder vascular disease infection metabolic disorder
how do you treat and acute exacerbation of MS?
steroids.
may even need to admit for IV steroids
what can you do to improve spasticity?
physio
anti -spasmodic agent
oral-baclofen
botox injection
what can you give for sensory symtpoms?
anti- convulsant e.g gabepentin
anti-depressant e.g amitryptiline
