NURS312 Lecture Notes - Lecture 9: Optic Neuritis, Cerebrospinal Fluid, Myocyte
18 Dec 2018
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Benign ms - not progressive; periods that they feel awful, but it doesn"t change their function. Relapsing remitting ms - see this the most; typically the 20-30 yo"s; s&s that come and go, this continues over time; each change/episode makes them lose some of their function. Secondary chronic progressive - r/t exposure to another chronic disease; something else triggered it. Tremor - shaking in the limb; usually starts in hands and fingers; can result in pill-rolling (rubbing the thumb and forefinger together when you"re at rest); resting hand tremor. Early sign is facial expression (flat affect) - look up muhammad ali: when they walk, their arms don"t swing, surgical interventions which are done primarily in europe in research studies; good use with. Impaired posture where they develop a stoop and have balance issues. Bradykinesia - slowed movement; take shorter steps; they drag their feet and sometimes trip. In up to 40%, we see signs of dementia (20-40%)
