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8501 Clin Med > MS 3 > Flashcards

Flashcards in MS 3 Deck (22):
1

What are some of the main symptoms of MS?

- unilateral vision impairment
- paresthesia
- ataxia/unsteadiness
- vertigo
- fatigue
- bowel/bladder dysfunction
- speech impairment
- pain

2

MS: ataxia is often present with

tremor

3

Ataxia associated with MS: management

difficult to manage

4

What is the single most common and disabling symptom of MS?

fatigue

5

How does fatigue present with MS?

Overwhelming tiredness in those who have not exerted and are not depressed

6

MS and repetitive tasks: how does this influence fatigue?

- demyelinating nerves fire over and over until it shorts when called to do a repetitive task
- exercise often results in feeling increased fatigue instead of strength

7

Fatigue with MS is also related to ________ in addition to repetitive firing

sleep dysfunction

8

Mm weakness is exacerbated by

heat

9

What does cooling allow for with MS pts?

- more efficient nerve conduction
- improved strength

10

Pain and MS pts:

- surprisingly common (up to 50% affected)
- Usually burning, neuropathic type

11

What has led to the development of a whole new set of symptoms for MS pts?

Aggressive use of immunomodulating agents

12

What are some of the signs of MS? (not to be confused with symptoms)

- optic neuritis
- nystagmus
- spasticity
- Babinski's sign
- intention tremor
- labile or mood change
- Lhermitte's sign

13

Mood changes commonly seen

- Primary or secondary depression
- due to either actual bran changes and chemistry OR result of dx itself

14

What is Lhermitte's sign?

momentary electric-like shock that stops you in your tracks

15

Lhermitte's sign is evoked by:

- neck flexion
- cough

16

Lhermitte's sign can be related to

peripheral nerve dysfunction

17

Lhermitte's sign: cause for concern?

if combined with other s/s

18

MS is characterized by: (BROAD)

progressive disability over time

19

Benign course of MS (% affected)

20%

20

What is often the FIRST manifestation of MS?

Optic neuritis

21

How does optic neuritis often present with MS pts?

- unilateral painful decrease or loss of vision
- visual field defects
- decreased color vision
- reduced visual clarity

22

Sensory changes with MS in initial stage

Paresthesia
- one extremity
- head/face

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