Flashcards in CNS degenerative disorders lecture #3 Deck (40):
What are they ways to manage dental needs in Alzheimer's disease pts?
-Provide short, simple instructions
-Use a "watch me" technique
-Monitor daily oral care
-Keep up with regular dental visits for as long as possible
What are the clinical manifestations of Multiple Sclerosis?
-Progressive and relapsing/remission
What type of disease is MS?
-Demyelination disease leading to inflammation and scarring
T/F The symptoms of MS are site specific
What can MS effect?
What does heat and stress do to MS patients?
-Stimulate MS episodes
Where do you see most patients with MS?
-Places where Scandinavian populations have settled (In the US the northern states)
Is MS genetic?
Is MS a male or female disease?
When do you start to see MS?
-Earlier in life than most other degenerative diseases
How may people in the US have MS?
What are the initiating factors of MS?
-Possibly a viral infection
-It is an Autoimmune disease
What is the progression of MS like?
-It is variable from person to person with relapses/remissions
What are the four classifications of MS?
If you have Benign MS what symptoms are associated with it?
-Not really any symptoms except maybe some fatigue
If you have relapsing remission of MS what is associated with it?
-Symptoms Come and Go (on/off) but there is no worsening of the disease
If you have relapsing progressive of MS what is associated with it?
-Symptoms come and go but the severity of the disease continues to progress
If you have chronic progression of MS what is associated with it?
-It continually progresses once you start getting symptoms
Where does MS occur?
-In the brain
What is the diagnosis and treatment of MS?
-There is no definitive test to diagnose MS
-You can use MRIs to see opacities but that isn't the only thing that can appear opaque in the brain
When do they call is MS?
-If the brain scan has more than 2 areas of opacities
-And if you have the symptoms of MS
What do the symptoms of MS depend on?
-Where you see the opacities in the MRI
How do you manage relapses of MS?
-Prednisone (steroid for anti-inflammation)
-Interferon (Potent genetic approach to dealing with inflammation)
If you have bowel dysfunction of MS what drug will you give?
What symptoms are common with MS?
If you have bladder dysfunctions of MS what drug will you give?
If you have depression with MS what drug will you give?
If you have fatigue with MS what drug will you give?
If you have pain with MS what drug will you give?
-Gabapentin (Neurontin) (anti-seizure drug)
If you have tremors with MS what drug will you give?
What does ALS stand for?
-Amyotrophic lateral schlerosis
What does ALS damage and do?
-CNS nerves that destroy voluntary skeletal muscles
What is a chronic autoimmune damage to skeletal muscles and diminished contact between neurons and skeletal muscles?
What causes Myasthenia Gravis?
-Destroy receptors for acetylcholine
What drugs do you use for Myasthenia Gravis?
If you stigmine what type of drug is it?
What is a disorder in which the body's immune system attacks part of the peripheral nervous system?
When does Guillain-Barre occur?
-A few days or weeks after the patient has had symptoms of a respiratory or GI viral infection
Extrapyramidal disease includes what groups of clinical disorders?