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Details

Demyelinating Disease
Test 4 Sem 2
14
Medical
Graduate
02/28/2011

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Cards

Term
Epidemiology of MS? (3)
Definition
1) More common in whites
2) Ages 20-50
3) Northern European/North America
Term
How is MS diagnosed?
Definition
1) more than 1 episode of dysfunction
2) white matter lesions in more than 1 area of CNS
Term
What are some typical clinical neurologic findings with MS? (4)
Definition
1) optic neuritis
2) internuclear opthalmoplegia
3) heat sensitivity
4) Lhermitte symptom
Term
What are the two clinical courses of MS?
Definition
1) relapsing/remitting: neurological deficit episodes more frequent w/time
2) Progressive Pattern: steady accumulation of deficits
Term
What is the single most useful test for diagnosing MS?
Definition
MRI - also for follow-up/management
Term
What are 2 characteristic findings in the CSF with MS?
Definition
1) intrathecal synthesis of immunoglobulins
2) oligoclonal bands
Term
What med is used for acute relapses/exacerbations of MS?
Definition
High-dose corticosteroids
Term
What percent of brain function is lost every 5 years w/MS? Normally?
Definition
1) MS-4.5% untreated
2) 1.5% normally
Term
What do use to prevent relapses of MS?
Definition
intereron beta
Term
What med is effective in aggressive relapsing MS and reduces symptoms by 67%?
Definition
Mitoxantrone
Term
What infections are very common in women with MS?
Definition
bladder infections
Term
unilateral vision loss and retrobulbar pain with eye movement is associated with what?
Definition
Optic neuritis
Term
Acute disseminated encephalomyelitis is usually preceded by what?
Definition
viral URI or vaccination
Term
What is the initial presenting symptom in 20% with MS?
Definition
Optic neuritis
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