Licensure, Neuro Conditions/Pathos (O'Sullivan)

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Licensure, Neuro Conditions/Pathos (O'Sullivan)
2014-07-05 21:45:02
Licensure Neuro Conditions Pathos Sullivan

Licensure, Neuro Conditions/Pathos (O'Sullivan)
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  1. sns Amyotrophic Lateral Sclerosis
    • Progressive UMN and LMN disease
    • 2-5 prognosis due to respiratory compromise
    • Cognition isn't affected
    • PT intervention: Symptomatic and supportive, don't over work, teach energy conservation
  2. MS sns
    • Progressive demyelinating disease of CNS with no cure
    • Fluctuating periods which can progress to permanent disability. Has different categories
    • Early sns of paresthesias, diplopia, fatigue
    • Dysarthria and scanning speech ("exploding speech"
    • Various visual problems
    • spasticity and hyperreflexia
    • ataxia, intentional tremors, dysmetria, dysdiadochokinesia, fatigue
  3. Lhermitte's sign
    Electric shock like sensation throughout body produced by flexing the neck
  4. The Hoehn and Yahr classification system is for what patients
    • Parkinson's
    • 1-5 stages, 5 being worst
  5. Difference in clinical appearance of R hemi vs L hemi CVA
    • Left hemisphere lesions (termed R hemiplegia) tend to be low, cautious, insecure, and hesitant
    • R hemisphere lesions (termed L hemiplega) tend to be impulsive, quick, overestimate their ability, and us poor judgement leading to safety concerns
  6. What is dysarthria
    decreased ability to control movements of the jaw, tongue, and respiratory structures needed for speech control.
  7. ACA
    • Affects frontal, parietal, basal ganglia, and corpus callosum
    • Contralat sensory and motor loss
    • Motor of LE more affected than UE
    • Apraxia, decreased ability of to imitate movement and perform bimanual tasks
    • slow, delayed movement
    • behavioral changes
  8. MCA
    • Frontal, temporal, parietal affected
    • Contralat sensory and motor loss with face and UE affected more than LE
    • Perceptual deficits
    • homonymous hemianopia
    • global, wernickes, or brocas
  9. PCA
    • Occipital, temporal, thalamus, mid brain affected
    • wide variey of sx both contra and ipsi
    • thalamic pain syndrome
    • involuntary movement
    • various vision sensory and motor issues
    • pusher syndrome
  10. what is pushers syndrome
    pushing toward the paretic side in sitting, standing, and walking
  11. vertebbrobasilar artery syndrome
    • CVA of medulla, pons, and cerebellum
    • wide variety of sx both contra and ipsi
    • cranial nerve involvement
    • diplopia, dysphagia, dysarthria, deafness, vertigo, ataxia
    • locked-in syndrome
  12. what is locked-in syndrome
    being awake and aware however unable to speak or control any muscles beyond eyes
  13. Decerebrate rigidity
    • Occurs with lesions of the brainstem
    • UE and LE in extension
  14. Decorticate rigidity
    • occurs with lesions above brain stem
    • UE in flexion and LE in extension
  15. With this condition be aware of over stimulation, provide consistency
  16. Brown-Sequard Syndrome
    • SCI related
    • One half of SC is injured
    • loss of motor fxn, proprioception, and vibration on side opposite of injury
  17. Anterior cord syndrome
    • type of SCI
    • injury occurs to anterior SC or anterior spinal cord artery
    • loss of motor fxn, pain, and temp below elvel of injury
    • retention of position sense and vibration below level of injury
  18. central cord syndrome
    • SCI
    • more severe involvement of UE than LE
    • sensory deficits vary
    • BB and sexual fxn may be spared
    • amb may be possible
  19. Posterior cord syndrome
    • Rare SCI
    • injury to post. spine or post. spinal artery
    • loss of proprioception and vibration below injury site
    • retention of motor fxn and pain perception below the injury site
  20. SNS of autonomic dysreflexia (hyperreflexia)
    • paroxysmal htn
    • bradycardia
    • HA
    • diaphoresis
    • flushing
    • diplopia
    • convulsions
  21. Absence seizure (petit mal)
    • Conscious activity suddenly stops
    • Mild motor manifestations may be present
  22. Myoclonic seizureĀ 
    repetitive muscle contractions in one part or the whole body
  23. atonic seizures
    LOC w/o muscular contractions
  24. tonic-clonic seizure (grand mal)
    • LOC
    • cycling between rigidty (tonic) and rapid jerky movements (clonic)
  25. These meds are used for seizures
    • dilantin
    • tegretol
    • valium
    • klonopin
  26. Guillain-Barre Syndrome
    • Progressive muscular weakness that develops rapidly
    • Progresses from LE to UE, distal to proximal
    • Potential to progress to full tetraplegia with respiratory failure