Unit 2 Flashcards

(18 cards)

1
Q

What is the aka for Ramsay Hunt syndrome?

A

Herpes zoster optics
a shingles outbreak affecting facial nerves near the ears. Shingles painful rash that cause facial paralysis and hearing loss in affected ear.

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2
Q

What is the treatment of care for herpes zoster?

A

analgesics

steroids

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3
Q

Shingles dx is based on what?

A

history and physical findings

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4
Q

The initial infection with varicella zoster virus (VZV) causes what?

A

acute, short lived illness chickenpox

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5
Q

What condition is associated with a local anesthetic treatment as a sympathetic ganglion block?

A

complex regional pain syndrome

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6
Q

Complex regional pain syndrome has no specific test to id condition. How is this dx?

A

based on physical exam and careful analysis of pt hx

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7
Q

What is anesthesia dolorosa?

A

sensitivity to touch w/severe pain

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8
Q

Allodynia and Hyperpathia are signs observed in what percentage of pt’s with CRS?

A

70-80
allodynia ie: pain to touch
hyperpathia ie:exaggerated réponse to painful stimuli

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9
Q

In 1/2 pt population w/CRS edema is a secondary sign to what?

A

autonomic dysfunction aka hyperhydrosis

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10
Q

70-80 percent of pt w/CRS experience allodynia and hyperpathia. However 80-90- percent have what sign?

A

impaired motor function

consist of paresis, pseudo paralysis, or clumsiness

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11
Q

What are the symptoms for CRS

A
a. spontaneous pain cardinal feature
neglect like syndrome cognitive limb feels not your, motor direct mental/visual attn need to move limb
b. difficulty/inability using limb 
c. altered skin temp
d. rapid fatigability late stage
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12
Q

What’s the cardinal feature/symptom of CRS?

A

spontaneous pain not limited to a single Peripheral n.
Burning most often, aching/throbbing/tingling
aggravated by activity but disproportionate to activity

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13
Q

What is the AKA for Complex regional pain syndrome?

A

Reflex sympathetic dystrophy syndrome

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14
Q

CRS is a chronic dz characterized by

A

severe pain, swelling and change in skin

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15
Q

What are the clinical features of CRS

A

neurogenic inflammation, nociceptive sensitization, vasomotor dysfunction and maladaptive neuroplasticity

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16
Q

CRS effects males or females more commonly? What is the peak age?

A

Females b/t 37-50

17
Q

What is the treatment for syringomyelia?

A

none
nero rehab care seeks to keep the remaining neurological functions and prevent complications of quadriparesis like infection

18
Q

What is the most sensitive test for syringomyelia?