Myasthenia Gravis Flashcards

(47 cards)

1
Q

what is Myasthenia Gravis

A

it is a complex autoimmune disorder where the antibodies destroy the neuromuscular connections

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2
Q

what problems does MG cause?

A

causes problems with the nerves that communicate with muscles

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3
Q

what does MG affect

A

the voluntary muscles of the body like the

  • eyes
  • mouth
  • throat
  • limbs
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4
Q

weakness and rapid fatigue of the muscle under voluntary control is usually characteristic of what diorder

A

Myasthenia Gravis

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5
Q

is there a cure for MG

A

no

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6
Q

some symptoms of MG

A
  • droopy eyelids
  • weakness of arms and legs
  • double vision
  • difficulties speaking, chewing, swallowing, and breathing
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7
Q

MG is common in who

A

women younger then 40 and men older than 60

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8
Q

what are the three types of MG in children?

A
  1. Congenital MG
  2. Transient Neonatal MG
  3. Juvenile MG
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9
Q

which kind of MG is this:

a very rare non immune for of MG that is inherited as an autosomal receive disease. SO in this case both males and females are affected equally. There are two copies of the gene because you inherit one from mom and one from dad. MUST HAVE BOTH. Symptoms will usually being in the first year of baby and are life long

A

Congenital MG

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10
Q

Which kind of MG is this:

This is when 10-20% of babies who are born to a mother who currently has MG, temporarily have MG themselves. This happens when antibodies that are similar to MG cross the placenta to the developing fetus. This only last for a few weeks and the baby does not have a greater likelihood to develop this disease later in life.

A

Transient Neonatal MG

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11
Q

Which kind of MG is this:

this develops quickly in females adolescents (caucasian) and it is an autoimmune disorder. This is life long and may go in and out of remission.

A

Juvenile MG

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12
Q

10% of MG cases are?

A

Juvenile onset

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13
Q

symptoms for babies with transient neonatal MG

A
  • poor sucking
    -weakness
    -respiratory difficulty
  • this goes away after antibodes disappear
    some babies may need a mechanical breathing machine
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14
Q

Congenital MG symtoms

A
  • weakness in arms and legs
  • delayed motor skills like crawling, sitting, walking
  • difficulty feeding
  • weak eyelids
  • poor head control
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15
Q

Juvenile MG symptoms

A
  • fatigue
  • problems chewing and swallowing
  • droop eyelids
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16
Q

what is the first sign and symptom in more than 1/2 of the people with MG

A

eye problems

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17
Q

ptosis

A

drooping of one or both eyes

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18
Q

diplopia

A

double vision (horizontal or vertical)

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19
Q

eye problems associated with MG

A
  • ptosis
  • diplopia
  • blurred vision
20
Q

Fascial and throat problems with MG include

A
  • speech difficulty
  • swallowing difficulty
  • chewing difficulty
  • fascial expression (lost smile)
21
Q

in what percent of people is fascial and throat problems the first symptom in MG

22
Q

Arm and leg problems with MG

A
  • weakness
  • arms are affected more then legs
  • waddle walking (legs affected)
23
Q

you should see a doctor for MG if…

A

having difficulty

  • breathing
  • seeing
  • swallowing
  • chewing
  • walking
24
Q

how many of the symptoms does a patient have to have for MG to be predicted?

25
MG causes fewer what on a muscle cell
receptor sites
26
what is believed to trigger or maintain the production of MG antibodies
thymus gland
27
in adults with MG what size can the thymus gland be
large
28
some factors that can worsen MG
- fatigue - stress - heat - beta blockers, calcium channel blockers, some anitbiotics
29
what is myasthenia crisis
a life threatening condition when the muscles that control respiration become to weak to perform their job
30
about how many people have a tumor on their thymus who also have MG
15%
31
what is the disease of the immune system that results in painful and swollen joints, hair loss, and extreme fatigue as well as a red (butterfly) shaped rash on the face
lupus
32
what is caused by problems with the immune system and is conspicuous with the wrist and fingers. can cause joint deformation that makes it difficult to use ones hands
rheumatoid arthritis
33
what test is used to confirm MG
tensilon test
34
what happens in a tensilon test
a small amount of Tension is injected into the child's. if MG is present an immediate but brief increase in muscle tone is noted
35
what are 4 diagnostic test (other then tensilon test) used to test for MG
- blood test - genetic test - EMG - Muscle biopsy
36
what is known to block the enzyme that breaks down Ach
endrophonium
37
repetetive nerve stimulation
electrodes are placed on muscle to see if nerves have the ability to send signal. For MG it will be tested to see if the signal lessens with fatigue
38
what is used to determine if there is a tumor on the thymus
CT or MRI
39
cholinesterase inhibitors do what
enhance communication between nerves and muscles (mestinon)
40
Corticosteriods
inhibit the immune system from making antibodies
41
for corticosteriods you must start low why
because the patient will gain a resistance to them over time (last resort)
42
2 types of therapy
1. Plasmapheresis
43
what kind of therapy uses a filtering process similar to dialysis to remove the bad anitbodies (effects usually only last for a few weeks)
plasmapheresis
44
what kind of therapy supplies the body with normal antibodies and helps to alter immune system response
IV immune globulin
45
thymectomy
surgically removing the thymus gland
46
what two non medical things can help G
Yoga and Pranayma- Yoga breathing
47
what is a vegetable to provides natural steroid like nutritious elements which help to strengthen weakened muscle cause by MG
asparagus