NPTE: Differential Diagnosis || with 100% Verified Solutions.
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NPTE: Differential Diagnosis
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NPTE: Differential Diagnosis
Hyperthyroidism (Grave's disease) correct answers Excessive production of thyroid hormone, resulting in generalized elevation of body metabolism. Diagnosed if TSH is depressed. (Occurs in countries where iodine is not present in diet)
Sy & Sx:
-Heat intolerance
-Increased sweating
-Wt loss, a...
NPTE: Differential Diagnosis || with 100% Verified
Solutions.
Hyperthyroidism (Grave's disease) correct answers Excessive production of thyroid hormone,
resulting in generalized elevation of body metabolism. Diagnosed if TSH is depressed. (Occurs
in countries where iodine is not present in diet)
Painful inflammation of the DRG
Caused by a Virus
Resulting inn the formation of Vesicles along the dermatome
Huntington's disease correct answers A human genetic disease caused by a dominant allele;
characterized by uncontrollable body movements and degeneration of the nervous system;
usually fatal 10 to 20 years after the onset of symptoms.
Tay-Sachs disease correct answers A human genetic disease caused by a recessive allele that
leads to the accumulation of certain lipids in the brain.
Seizures, blindness, and degeneration of motor and mental performance usually become manifest
a few months after birth.
Child only lives until 5 y.o. typically
Wilson's disease correct answers a genetic disorder (recessive) of copper metabolism that creates
a copper toxicity and
Results in neurologic symptoms such as tremors, impaired speech, inappropriate behaviors, and
personality changes
Rickets correct answers osteomalacia in children; causes bone deformity
Osteomalacia correct answers disease marked by softening of the bone caused by calcium and
vitamin D deficiency
,Paget's disease correct answers A slowly progressive metabolic bone dz.
Initial phase = excessive bone resorption.
Reactive phase = excessive abnormal bone formation.
New bone structure is fragile and weak and causes painful deformities.
Can be fatal with CHF also. (Paget's requires increased CO, which CHF does not allow)
multiple myeloma correct answers malignant neoplasm of bone marrow
Results in ptosis, pupil constriction, vasodilation, and absence of sweating (in ipsilateral face)
(often occurs with CVA in ant inf cerebellar or post inf cerebellar arteries)
amyotrophic lateral sclerosis (ALS) correct answers condition of progressive deterioration of
motor nerve cells resulting in total loss of voluntary muscle control
symptoms advance from muscle weakness in the arms and legs, to the muscles of speech,
swallowing, and breathing, to total paralysis and death; also known as Lou Gehrig disease
Both UMN and LMN signs
Tx:
-Maintain respiratory function and activity lvls
-PROM
-Positioning, skin care
-Prevent further atrophy, avoid overworking ms
Bell's Palsy correct answers paralysis of the facial nerve (CN 7), causing muscular weakness in
one side of the face.
Tx:
-Artificial tears to protect cornea
-ESTIM to maintain tone and support facial ms
-Teach facial ms exercises
-Functional retraining (chew on oppo side)
Guillain-Barre syndrome correct answers a polyneuropathy of probable immune-mediated viral
origin, resulting in symmetric motor paralysis and progressive muscular weakness that develops
quickly
Sy & Sx:
, -Some sensory loss
-Ms weakness the progresses from LE's to UE's from distal to proximal
-May produce full respiratory failure
-Recovery is slow, up to one year
Tx:
-During progression -> Resp. Function, PROM, Positioning
-When stabilized -> Avoid overuse, begin gentle stretching, initiate movement
-During recession of dz -> Ms reducation, mod exercise, CV fitness
multiple sclerosis correct answers A chronic demyelinating dz of the CNS more prevalent in
colder climates of the world. May be relatively mild with bouts of remissions and exacerbations
or progression.
Sy & Sx:
-Sensory disturbances
-Coordination problems & spasticity
-Fatigue (esp in the afternoon)
-Diplopia -B/B problems -Communication d/o's -Psych problems
Tx:
-Improve func. -Prevent secondary problems
-Breathing -PNF
-Ambulation -Decrease tone
-Positive attitude to reduce pt's stress
-Don't overuse
-Better with AM treatments
Parkinson's disease correct answers A progressive dz affecting the basal ganglia with a decrease
in dopamine production and/or receptors in the brain
Sy & Sx:
-Tremor (resting), Rigidity, Fatigue
-Difficulty initiating movement (Bradykinesia)
-Festinating/Shuffling gait
-Flexed posture w/ Mask-like face
-Decreased reflexes -Behavior changes
Tx:
-Gait trng to increase stride width and length
-Breathing exercises
-PNF with RI to overcome bradykinesia
-ROM activities
-Dopamine agonist meds (to decrease tremor and bradykinesia)
-Best to tx in AM
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