Multiple scleorsis

Question 1

MS

Answer 1

Chronic
Demyelinating 
inflammatory
progressice
autoimmune

Question 2

Prevelance

Answer 2

temperate latitude
20-40 yrs old
higher socio-economic groups
genetic element
caucasian

Question 3

S&S

Answer 3

visual acuity
dipolpia
fatigue
weakness
spasticity and hyperreflexia
ataxia 
poor communication
sensory loss- parasthesia tingling burning
dizziness
poor balance
sphincter disturbance
sexual dsyfunction
psychiatric
decreased intellectual function

Question 4

Initial Symptoms

Answer 4

limb weakness
optic neuritits
parasthaesia
dipolpia
vertigo
micturition problems- urination retenriton

Question 5

Types

Answer 5

relapsing-remitting MS
primary progressive MS
secondary progressive MS
benign MS

Question 6

Pathology

Answer 6

distribution of blood brain barrier
leakage of inflammatory cells
destruction of olgiodendrocytes and myelin sheath
disruption of nerve signal

Question 7

Triggers

Answer 7

infection
vaccination
pregnancy
trauma
emotional stress

environmental factor
viral factor
genetic factor
deficiencies in diet

Question 8

Hypothese

Answer 8

MS is product of both environmental & genetic
factors. Exposure to some environmental agent
during childhood, in those genetically susceptible,
results in auto-immune response

Or is the inflammation a response to underlying
axonal degeneration

Question 9

Treatment of symptoms

Answer 9

• Disease modifying drugs
• Anti-spasticity agents and relaxants
• Anti-depressants
• Analgesia
• Drugs to reduce bladder problems
• Splinting
• Wheelchairs and seating
• Diet - linoleic acid, fish oils, vitamin D
• Hyperbaric oxygen
• Physiotherapy

Question 10

Rehabilitation

Answer 10

Develop improved strategies of movement
relearn motor skills
improve quality of patterns of movement
minimize abnormalities of muscle tone
emphasise functional application of Rx
support to maintain motivation and participation
implement strategies to prevent contractures
maintain/improve fitness/prevent deconditioning
education