MS-Clark Flashcards
1
Q
Who is most likely to get MS?
A
Women in their late 30s from northern european ancestry living far away from the equator
2
Q
What are the two biggest ddx to consider when thinking about MS as a dx?
A
Acute disseminated encephalomyelitis (ADEM)
Neuromyelitis optica
3
Q
What are the 4 types of MS?
A
- Relapsing-remitting
- Secondary progressive
- Primary progressive
- Relapsing progressive
4
Q
What are the two best diagnostic tests to run when considering MS?
A
Lumbar puncture and evoked potentials
5
Q
What are some clinical presentations of MS?
A
- Ataxia
- Internuclear ophthalmoplegia (INO)
- Optic neuritis (afferent pupillary defect)
- Uhthoff phenomenon (sx worse when body temp elevated)
6
Q
What is the best acute therapy for MS?
A
1000 mg IV Solumedrol daily for 3 days
7
Q
What is meant by the term “Clinically isolate syndrome?”
A
Treating early helps delay second relapse of MS
