Multiple Sclerosis (Exam 4) Flashcards
Multiple Sclerosis
Chronic - Inflammatory - Autoimmune disorder
Causing demyelination and axonal injury
Remissions and exacerbations
MS is potentially disabling disease of
Brain and spinal cord
MS: Clinical Manifestations
Lhermitte sign (watch video on canvas)
Sensory in limbs
Visual Loss
Motor
Diplopia
Gait disturbances
Motor
Balance Problems
Vertigo
Bladder problems
Limb ataxia
Polysymptomatic onest
MS: Asses for
Cognitive problems
-memory loss and personality change
Spasticity
Intention tremor
Hearing loss
Tinnitus
Sexual dysfunction
Nystagmus
Depression
Fatigue
Bowel problems (constipation)
Heat intolerance
Diagnosis of multiple sclerosis
Medical History and In-depth Neurological exam
- MRI
- Evoked Potential Test
- Lumbar Puncutres
MS: MRI
Test of choice to support clinical diagnosis and to reveal MS lesions
MS: Evoked Potential Test
-Measures nerve sensation
-Measures electrical signals sent to brain in response to stimuli
-Can use visual or electrical stimuli
MS: Lumbar Punctures
To check CSF for Increase WBC’s or proteins
Diagnosis of MS requires evidence of one of these patterns:
Two or more episodes of exacerbation:
-Separated by 1 month apart and lasting more than 24 hours
OR
Clinical History
-Clearly defined exacerbations and remissions, with or without complete recovery, followed by progression sx over a period of at least 6 months
OR
Slow and stepwise progression of S/S
-Over a period of at least 5 months
MS: Non-drug therapy
PT or OT involvement
MS: Counseling
Coping strategies
Patient and Family
MS: Teaching Self Care
-Recognize own triggers
-REST
Regular Aerobic Exercise
-Improves strength - muscle tone - balance - coordination
-Helps with depression
MS Exacerbation Triggers
Infection
Trauma
Stress
Change in Environment
