patho test 4 extra study

autoimmune, antibodies block receptors preventing muscle contraction
skeletal muscle weakness
s/s: ptosis, diplopia, difficult swallow or breathing, weak arms and legs
diagnose: neuro exam, edrophonium test, CT, nerve conduction test
treat: immunosuppress

myasthemia gravis

brain disorder/ basal ganglia
s/s: tremors, rigidity, bradykinesia
diagnose: neuro exam
treat: meds, deep brain stimulator

parkinsons

MRI, nerve conduction

diagnose ALS

demyelination of CNS white mater
sclerotic plaque on white mater
s/s: fatigue, muscle weak, speech and swallow difficulty, poor balance, abnormal gait, paresthesia
diagnose: MRI
treat: meds, physical therapy

multiple sclerosis

btwn skull and dura mater
tear in artery
unconscious and lucid periods

epidural hematoma

btwn dura and subarachnoid space
tear in vein
increase ICP and decrease LOC
HA and confusion

subdural hematoma

most common to frontal and temporal
danger to area that it puts pressure on

intracerebral hematoma

global injury
shaking baby syndrome
MRI

diffuse brain injury

hypertension
age
tumor
aneurysm

risk factors for hemorrhagic strokes

HA
vomit
seizure
coma

s/s for hemorrhagic strokes

caused by fever
children
no need to treat the seizures
loss of consciousness

febrile seizure

severe infection of bone and local tissue
open fracture

osteomylitis

particles released from bone marrow into bloodstream and lodge into lung vasculature
SOB, rapid breathing, hypoxemia, rash
x-ray and CT

fat embolism

common benign tumor
kids
grows no bone surface

osteochondroma

common malignant bone tumor
kids
on distal femur, proximal tibia and fibula, proximal humerus

osteosarcoma

buildup of pressure on soft tissue
hypoxia bc of collapsed blood vessels
necrosis
emergency decompression

compartment syndrome

breakdown of muscle tissue that releases a harmful protein into the bloodstream
dark urine, low amt of urine, muscle aching and weakness
increase fluid to prevent kidney damage

rhabdomyolysis

diabetes 17.5+
prediabetes 9.5 - 17.4

A1C value for diabetes and prediabetes

bone to muscle

tendon connects

bone to bone

ligament connects

high metabolism
weight loss
goiter
fast HR
exophthalmos
heat intolerance

hyperthyroid

low metabolism
weight gain
low HR
enlg heart
edema
muscle weakness
cold intolerance

hypothyroid

70 - 100

normal fasting blood glucose

disorder of decreased alertness with associated psychomotor special needs

obtunded