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