SULLIVAN TABLES Flashcards
CHARACTERIZED BY DISCRETE ATTACKS OF NEUROLOGICAL DEFICITS WITH EITHER FULL OR PARTIAL RECOVERY IN SUBSEQUENT WEEKS TO MONTHS
RELAPSING REMITTING MS
% OF RELAPSING REMITTING MS
85%
CHARACTERIZED BY LACK OF DISEASE PROGRESSION
RELAPSING REMITTING MS
MAY BE THE RESULT OF PROGRESSIVE AXONAL LOSS RATHER THAN NEW LESIONS
SECONDARY PROGRESSIVE MS
CHARACTERIZED BY DISEASE PROGRESSION AND STEADY FUNCTIONAL DECLINE FROM ONSET, PT. MAY EXPERIENCE MODEST FLUCTUATIONS IN NEUROLOGICAL DISABILITY BUT DISCRETE ATTACK DO NOT OCCUR
PRIMARY PROGRESSIVE MS
PRIMARY PROGRESSIVE MS %
10%
CHARACTERIZED BY STEADY DETERIORATION IN DISEASE FROM ONSET BUT WITH OCCASIONAL ACUTE ATTACKS
PROGRESSIVE RELAPSING MS
% OF PROGRESSIVE RELAPSING MS
5%
STABLE PATIENT MAY HAVE LOCAL INFLAMMATORY ACTIVITY THAT IS CLINICALLY ABSENT
RELAPSING REMITTING
ASSOCIATED WITH LATER ONSET (MEAN 40Y/O) AND MORE EQUAL GENDER DISTRIBUTION
PRIMARY PROGRESSIVE MS
INTERVALS IN BETWEEN ATTACKS ARE CHARACTERIZED BY CONTINUING DISEASE PROGRESSION
PROGRESSIVE RELAPSING MS
DEGENERATION OF CORTICOSPINAL TRACTS, NEURONS IN THE MOTOR CORTEX AND BRAINSTEM AND ANTERIOR HORN CELLS IN THE SC
ALS
DEGENERATION OF UMN
PRIMARY LATERAL SCLEROSIS
DEGENERATION OF MOTOR NEURONS OF CN 9-12
PROGRESSIVE BULBAR PALSY
LOSS OR CHROMATOLYSIS OF MOTOR NEURONS OF THE SC AND BRAINSTEM
PROGRESSIVE MUSCULAR ATOPHY
STAGE 1 HOEHN YAHR
MINIMAL/ABSENT ; UNILAT
STAGE 2 HOEHN YAHR
MINIMAL/BILATERAL/MIDLINE INVOLVEMENT, BALANCE INTACT
STAGE 3 HOEHN YAHR
IMPAIRED RIGHTING REFLEXES
STAGE 4 HOEHN YAHR
ALL SX PRESENT AND SEVERE, STANDING AND WALKING ONLY POSSIBLE WITH ASSIST
STAGE 5 HOEHN YAHR
CONFINED TO BED/W/C
pt. reacts inconsistently and nonpurposefully to stimuli in a nonspecific manner
GENERALIZED RESPONSE RLA 2
PT. APPEARS TO BE IN A DEEP SLEEP AND IS COMPLETELY UNRESPONSIVE TO STIMULI
RLA 1 NO RESPONSE
PT. REACTS SPECIFICALLY BUT INCONSISTENTLY TO STIMULI, MAY FOLLOW SIMPLE COMMAND SUCH AS CLOSING EYES IN AN INCONSISTENT DELAYED MANNER
RLA 3 LOCALIZED RESPONSE
HEIGHTENED STATE OF ACTIVITY, BIZARRE AND NON-PURPOSEFUL BEHAVIOR
RLA 4 CONFUSED AGIT