SM01 Mini4 Flashcards
what is “loss of function hierarchy?”
cognitive decline due to stressors & life challenges
stages: early, moderate, advanced
health
state of complete physical, mental & social well-being
NOT merely absence of disease or infirmity
wellness
active process of becoming aware of & making choices toward a more successful existence
where is loss of function first seen?
in family relationships
what is the last thing affected by loss of function?
work
what are the major danger zones?
fatigue, depression, anxiety, & mental health concerns
isolation, perfectionism, substance abuse, & compulsivity
burnout inventory
emothional exhaustion
cynicism or depersonalization
professional efficacy
what specialty is at highest risk for burnout?
EM
disruptive behavior
occurs when use of inapprorpriate words, actions, or inactions by a physician interferes w/their ability to function well w/others
behavior interferes w/ quality of health care delivery
on spectrum of passive to aggressive
self-awareness
having deep understanding of one’s emotions, strengths, weaknesses, needs, & drives
neither overly critical not unrealistically hopeful
honest w/themselves & others
physician health programs
all states
separate from medical board
non-punitive, focuses on rehab NOT discipline
allows to seek treatment w/o jeopardizing medicla license
cause of myasthenia gravis
acquired autoimmune disorder
antibodies for AChR
\clinical presentation of Myasthenia Gravis
fatigue on exertion/repetitive motions
usually female
age of onset 25-30 for females & over 40 for males
ptosis
double vision
head drop w/o being sleepy
gagging when swallowing
Myasthenia Gravis crisis
difficulty breathing caused by loss of muscle control for breathing
types of clinical presentations of Myasthenia Gravis
ocular OR general
important point for myasthenia gravis physical exam
- eyes: double vision & lids for ptosis
- throat: ability to swallow; ability to talk for a long time or hold a sung note
- strength of neck
- limbs: presence of symmetry of reflexes; ability to rise from seat w/o using arms to help
clinical tests for myasthenia gravis
ice test→ improve muscular function
nerve conduction tests
anti-ACHR antibody level in serum
what sometimes cures myasthenia gravis?
thymectomy
What is a concern for mothers with myasthenia gravis?
10% of neonates from MG mothers display transient MG in first 7-10 days as respiratory distress
treatments for myasthenia gravis
anticholinesterases
immunomodulating therapies: plasmapheresis, corticosteroids, IV immunoglobulin, immunosuppressants
thymectomy
cholinergic crisis
cause: overdose of anticholinesterases or overexposure to certain herbicides & pesticides
signs: diaphoresis, excessive salvation, diarrhea, respiratory depression & miosis (excessive constriction of pupils)
things that exacerbate myasthneia gravis symptoms
emotional stress
exposure to extreme temperature/pressure change (flying)
fever
illness
hypokalemia
muscles relaxants
overexertion
1 misdiagnosis for myasthenia gravis
depression
symptoms of depression
SIGECAPS
- Sleep problems
- loss of Interest
- feelings of Guilt
- loss of Energy
- loss of Concentration
- loss of Appetite
- Psychomotor retardation
- Suicidial thoughts
