MS Flashcards
(28 cards)
What is mltiple
multiple relapses or lesions
Prevelance factors
occur in areas furthest from equator
where you live 1st 15 years of life
causes of ms
autoimmue
viral component
genetic
env
Autoimmune cause
something triggers immune system to attack myelin
Viral cause
measles
human herpes virus 6
epstine bar virus (mono)
Env causes
where you live
exposure to vit D
Relapsing Remitting MS (RRMS)
Most common 85%
Attacks or exacerbations with partial/full recover that repeats
Secondary progressive MS (SPMS)
Develops from RRMS
Progress more steadily w/ or w/out relapses
Primary Progressive MS (PPMS)
Steadily progressive w/ variable rate
no relapses
Progressive Relapsing MS (PRMS)
Least common
clear progression from the onset w/ clear acute relapses
much more steady progression
How to DX MS
MRI
2 or more lesions in CNS
What are Meds used for
- improve speed of recovery
- reduce # of attacks and lesions
- slow progression
What are interferons used for
improve speed of recovery through infusion, oral, injections
SS of MS
Fatigue (most common) Cog (concentration, abstract thinking, judgement, sequencing) Psychological (coping, work and relationships) Dysphagia/Dysarthria Spasticity Ataxia/Tremor Pain sexual dysfunction Bowel/bladder dysfunction vision difficultis
Why do many people have fatigue
poor sleep, depression, motor fatigue, weakness, meds
where is spasticity greater
UE
What kind of tremors do you see mero
intention tremor (shake more when concentratin/moving closer to object)
What do ataxia/tremors lead to
balance problems
falls
what do you see w/ vision
optic neuritis-inflammation of optic n
lesions on optic n
What to do for EC/WS
decrease prolonged standing
morning vs. afternoon for fatigue
education regarding increased body temp=fatigue
AE
What to do for exercise
Strengthening
Aerobics
stretching (yoga)
What to do for cog
edu (decrease distractions) cog strategies (use planner/calendar)
What to do for ataxia/tremors
stabilization vs weights
prop on elbows
hold arm while brushing hair
What is dysphagia/dysarthria worsened by
fatigue
weakness
