PATHO FINAL RELEASE ME!!! Flashcards
NERVOUS SYSTEM
Central Nervous System and the Peripheral Nervous System
Seizures
-an abnormal electrical firing in the brain that interrupts normal function.
-generalized involves both hemispheres of brain and loss of
consciousness is common.
Epilepsy
-a common condition in which unprovoked, recurrent seizures are caused by physiological
changes.
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Guillain Barre
an inflammatory, demyelinating disease whose etiology is not completely understood but
probably immunologic in origin. It affects people of any age, sex, or race and is characterized by extreme
weakness and numbness or tingling in the extremities and a loss of movement or feeling in the upper
body and face progressing to paralysis. There is an association with infections, vaccinations, and surgery.
Most clients have good recovery but it may take months.
S/S
Weakness usually begins in the legs, then spreads to involve the arms and face. Respiratory muscles
may be involved. Life-threatening complications can occur such as tachycardia, arrhythmias, and
pulmonary dysfunction.
Alzheimer’s Disease
chronic, progressive, degenerative disease that affects clients over the age of 65,
although it has been known to occur between the ages of 40 and 50. Structural changes in the brain
…degenerative changes result in a declining ability to cope with everyday life as brain cells die.
Amyotrophic lateral sclerosis (ALS):
serious, rapidly progressive, debilitating, and fatal neurological
disease that attacks the nerve cells that control voluntary muscles. There are no sensory or cognitive
changes. Most people are diagnosed around the age of 40 to 50
Multiple sclerosis (MS):
a chronic, debilitating, progressive disease of the central nervous system. MS is
characterized by the demyelination of nerves of the central nervous system. MS usually appears between the
ages of 20 and 50 and affects females more than males. An autoimmune response occurs as a result of a
viral infection in a person who is susceptible genetically to MS. The inflammatory response sets in as T-
cells, which were needed to fight infection, did not leave the CNS post-infection. Inflammation destroys
myelin (which insulates nerves) and cells that produce myelin. The myelin sheaths that protect nerves
normally are destroyed in a patchy manner. The patchy areas are called plaques. When the myelin is
intact, the nerve impulses can move rapidly. However, in MS, the impulses are slow, distorted, and may
become completely absent. The most commonly affected nerves are located in the following places: the
white matter of the spinal cord, optic nerve, brainstem, cerebrum, and cerebellum.
Parkinson’s disease
progressive disorder of the CNS, affecting a person’s movement, balance, and
muscle control. It is more common in males with onset of symptoms typically between the ages of 40 and
70. Understand the actions of the neurotransmitters dopamine and acetylcholine (ACh). What are
symptoms that are typical? (tremor, rigid muscles, slowed movement, impaired posture)
Meningitis:
inflammation of meninges. Viral vs bacterial. Signs and symptoms – worry about ICP and
bacterial type. How is this spread from person to person? (spit, Respiratory)
ICP:
Normal intracranial pressure is considered to be 15 mm Hg or below. Increased intracranial pressure
(IICP) is prolonged, elevated pressure in the cranium leading to hypoxic brain tissue with permanent brain
damage. Increased intracranial pressure is a medical emergency.
DMD
Duchenne muscular dystrophy (DMD) is one of the most severe forms of inherited muscular
dystrophy. Mutations in the dystrophin gene lead to progressive muscle fiber degeneration and
weakness. This weakness may present initially with difficulty in ambulation but progressively advances
to such an extent that affected patients are unable to carry out activities of daily living and must use
wheelchairs.
Gower’s sign
presents with any condition that is associated with weakness of the pelvic girdle or proximal muscles of lower extremities
JIA
-Group of idiopathic inflammatory arthritis affecting children younger than 16 years of age and
lasting six weeks or longer.
-JIA has the general pattern of inflammatory joint disease (synovitis, joint effusion, soft tissue
swelling, osteopenia, bone edema, and erosions) with some additional elements related to developmental
age, such as epiphyseal growth disturbances, premature bone maturity- so person does not reach full
height or one limb does not grow symmetrically.
Osteoporosis
metabolic bone disorder that results in the loss of bone mass due to the rate of bone
resorption exceeding the rate of bone formation = porous and brittle, which leads to easy bone fractures.