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Flashcards in Unit 2 Deck (18)
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1

What is the aka for Ramsay Hunt syndrome?

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.

2

What is the treatment of care for herpes zoster?

analgesics
steroids

3

Shingles dx is based on what?

history and physical findings

4

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

acute, short lived illness chickenpox

5

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

complex regional pain syndrome

6

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

based on physical exam and careful analysis of pt hx

7

What is anesthesia dolorosa?

sensitivity to touch w/severe pain

8

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

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

9

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

autonomic dysfunction aka hyperhydrosis

10

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

impaired motor function

consist of paresis, pseudo paralysis, or clumsiness

11

What are the symptoms for CRS

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

12

What's the cardinal feature/symptom of CRS?

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

13

What is the AKA for Complex regional pain syndrome?

Reflex sympathetic dystrophy syndrome

14

CRS is a chronic dz characterized by

severe pain, swelling and change in skin

15

What are the clinical features of CRS

neurogenic inflammation, nociceptive sensitization, vasomotor dysfunction and maladaptive neuroplasticity

16

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

Females b/t 37-50

17

What is the treatment for syringomyelia?

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

18

What is the most sensitive test for syringomyelia?

MRI