week 10 lecture 2 Flashcards
what is autonomic dysreflexia?
sudden onset of excessivly high blood presure - more commin in people with injuris T6 or above
what causes autonomic dysreflexia?
overactive ANS originated below level of SCI due to a trigger
what is the pathphysiology of autonomic dysreflexia?
nerve impulse travels up SC until blocked by lesion
relfex resopnes activated below injury level and vascular constriction
overal HTN triggered inhibitory response from brain to promoate vasodilation
signal cant pass below level of injury
unapossed vasodilation above injury point and vasoconstriction below injury point
what are the common triggers fro autonomic dysreflexia?
overfull bladder -UTIs
overfull bowels - constipation
pressure injuries - ingrown nails, skin problems
truma
tight clothing/devices
extreme tempreture or quick temp changes
what are the signs and symptoms of autonomic dysreflexia?
pounding headache
flused face or red blotches
swearting above injury
nausea
bradycardia
goosebumps below injury
cool plae clammy below injury
what are motor neuron diseases?
group of diseases in which neurons undergo degerneration and die
rapidly progressive and incurable
what causes motor neuron diseases?
unknown
exposure to viruses, toxins, chemicals, inflammation and damage to nurones due to immune response
nerve growth factors
gene mutations
hereditary
what is the presenstation of motor neuron disease?
often begins in hands, feet and voice
develop generalsied paralysis, loose speach and have difficulty swallowing, become breathless and experice sleep disturbances, experience mild cognition and behavioural change
what is multiple sclarosis?
autoimmune disease that attacks central nervous system
damaged myelin due to demylenation causes inflamation and scarring interferring with impulses withing brain, spinal chord and optic nerves
what are the different classifications of MS?
relapsing-remitting MS - most common clearlt defined attacks followed by periods of recovory
Secodnary progressive MS - condition follows a history of worsening RRMS after original diagnosis
Primary progressive PPMS - the condition follows progressive course from onset, chearterised by worsening neruological function in the absence of exacerbation periods
what are the symptoms of MS? motor
motor control - difficulties wlaking, balnces, cordiantion, muscle spasms, tremors, muscle weakness, difficulty speakinf, dysphasia, breathing difficulties
what are the symptoms of MS? fatigue
extreme lethagy often in combination with heat sensitivity
what are the symptoms of MS? neurological
visual distrubances, altered sensation, neurological pain, snesitivity
what are the symptoms of MS? elimintion
incontenence, frequency, less urgency, constipation, diarriaha
what are the symptoms of MS? neuro-physical
impared memory and concerntration, change in processing speed abilites, impared cognitive function, moood changes