ccs case for woman with multiple sclerosis - angelwood

[ArchivalUser]

present with weakness & Nystagmus on neurological exam.

Please pose management for this case.

[ArchivalUser]

aspirin and steroids ASAP.

than will do work up.

[ArchivalUser]

Pt presents with acute neurologic deficit and a Hx unrelated neurologic deficits

ABC i case if its a life threatening defeicit
cbc
bmp
ua
s lipid pro
ekg
s vitamin b12
vdrl/rpr
elisa for hiv if multiple sex partner
MRI
consult neurologist
lumbar puncture
CSF protein/ IgG
Fundus Exam

Confirmation with Hx, MRI and LP
Hospitalize
Methylprednisone for acute attack
Baclofen- Muscle rigidity
Amantadine- Fatigue
Docusate- Constipation
SPasticity- Dantrolene
Symptomatic Treatment
interferon/glatiramer acitate

Neurology Consult
Neurorehabilitation
Reassurance
Occupatinal therapy
Ophthalmology Consult
Speech Therapy
Rehabilitation
adder hyperactivity oxybutinin
fatigue amantadine or flouxetine
bladder retention bethanecol
Contracpetive
Urodynamic studies

[ArchivalUser]

thank

[ArchivalUser]

Thanks for that nimish. Excellent.
Just wanted to add one more point..If a female pt, then perform Beta HCG before starting treatment with Glatiramer/IFN to rule out pragnancy..

[ArchivalUser]

yeah correct, and put pt on OCPs

[ArchivalUser]

some recommend starting pts on antidep prophylavtically due to inc depression with interferon.