MS Flashcards
1
Q
What is MS? 3 points
A
- T cell mediated, autoimmune
- demyelinated plaques
- lesions in CNS separated by time and space
2
Q
MS presentation
A
unilateral optic neuritis diplopia ataxia numbness/tingling headaches UMN
3
Q
MS - Lhermittes sign
A
shock down spine
4
Q
MS - Uthoff
A
increase in body temperature exacerbates symptoms (nerve deadness)
5
Q
MS investigations
A
-ABCDE
-Blood- FBC, MCV, WBC, ESR, UE –> check infective markers
-MRI - plaque leisons in white matter in the brain
- Bone profiling - Ca and Mg
Autoimmune screen - ANA and ANCA
Lumbar puncture - oligoclonal bands, look in CSF for pleocytosis
- EEG
6
Q
differential diagnosis for MS
A
blood in eye retinal detachment vitral hemmorhage occlusion optic nerve
7
Q
MS management - 8 points
some say dont play there cause of predators
A
- stabilise
- steroids- prednisolone or methylpred (IV)
- dexamethasone
- plasmaphoresis
- tysabin
- carbamezapine
- OT
- physio
8
Q
MS can cause 3 things
A
- pseudo bulbar palsy
- urinary incontinence
- muscle spasms
9
Q
pseudo bulbar
- what is it
- where is affect
- treatment
A
no control on facial movements
UMN
- give steriods
10
Q
urinary incontinence
- what from
- what to give
A
spinal damage
cholinergics, continence nurse
11
Q
muslce spasms type (1) and treatment (2)
A
tonic clonic
baclofen, dizaepam
