Flashcards in MS 3 Deck (22):
What are some of the main symptoms of MS?
- unilateral vision impairment
- bowel/bladder dysfunction
- speech impairment
MS: ataxia is often present with
Ataxia associated with MS: management
difficult to manage
What is the single most common and disabling symptom of MS?
How does fatigue present with MS?
Overwhelming tiredness in those who have not exerted and are not depressed
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
Fatigue with MS is also related to ________ in addition to repetitive firing
Mm weakness is exacerbated by
What does cooling allow for with MS pts?
- more efficient nerve conduction
- improved strength
Pain and MS pts:
- surprisingly common (up to 50% affected)
- Usually burning, neuropathic type
What has led to the development of a whole new set of symptoms for MS pts?
Aggressive use of immunomodulating agents
What are some of the signs of MS? (not to be confused with symptoms)
- optic neuritis
- Babinski's sign
- intention tremor
- labile or mood change
- Lhermitte's sign
Mood changes commonly seen
- Primary or secondary depression
- due to either actual bran changes and chemistry OR result of dx itself
What is Lhermitte's sign?
momentary electric-like shock that stops you in your tracks
Lhermitte's sign is evoked by:
- neck flexion
Lhermitte's sign can be related to
peripheral nerve dysfunction
Lhermitte's sign: cause for concern?
if combined with other s/s
MS is characterized by: (BROAD)
progressive disability over time
Benign course of MS (% affected)
What is often the FIRST manifestation of MS?
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