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Content text NCM 116 LEC MIDTERMS

NCM 116 LEC MIDTERMS by TONS and MADS and JANNY MIDTERMS COVERAGE Autoimmune Altered Neural Regulations CVD Specific: Rheumatic Arthritis, SLE, Systematic Sclerosis (Scleroderma) Spondyloarthropathies, Fibromyalgia Syndrome HIV/AIDS Altered State of Consciousness, Seizures , Epilepsy & Status Epilepticus TIA, Ischemic and Hemorrhagic Stroke Head, Brain and Spinal cord Injuries INFLAMMATORY REACTIONS 1 ANAPHY 1 Immunodeficiency 3 I. PRIMARY IMMUNODEFICIENCIES 3 A. Phagocytic Dysfunction 3 B. B-Cell Deficiencies 4 C. T-Cell Deficiencies 5 D. Combined B-Cell and T-Cell Deficiencies 6 E. Deficiencies of the Complement System 6 II. SECONDARY IMMUNODEFICIENCIES 7 HIV INFECTION AND AIDS 7 ➔ Acquired immunodeficiency syndrome (AIDS) 7 ➔ Medications 8 Immunosuppressants (Box 63-2) 9 ➔ Pathophysiology 11 ➔ Stages of HIV Disease 11 ➔ Assessment and Diagnostic Findings 12 ➔ Treatment 13 ➔ Clinical Manifestations 13 ➔ Medical Management 14 ➔ FROM ELEARN PLP 15 Rheumatic and AutoImmune Disorders 17 I. Rheumatic Diseases 17 II. Diffuse Connective Tissue Diseases 18 E. Rheumatoid Arthritis (RA): 18 F. Systemic Lupus Erythematosus (SLE) 19 G. Scleroderma (systemic sclerosis) 19 H. Polymyositis 20 I. Polyarteritis nodosa 20 J. Pemphigus 20 III. Goodpasture’s Syndrome 21 IV. Lyme Disease 21 V. Degenerative Joint Disease (Osteoarthritis; OA) 21 VI. Spondyloarthropathies 21 VIII. Fibromyalgia: 22 IX. Arthritis Associated With Infectious Organisms: 22 X. Neoplasms and Neurovascular, Bone, and Extra-Articular Disorders: 22 Systemic lupus erythematosus (SLE) 22 NEUROLOGIC DYSFUNCTION 26 ANAPHY 26 ➔ Diagnostic Tests 27 ➔ Neurological Assessment 29 Chapter 61: Neurological Disorders 29 ❖ Altered Level of Consciousness (LOC): 29 ❖ Pathophysiology: 29 ❖ Clinical Manifestations: 30 ❖ Assessment and Diagnostic Findings: 30 ❖ Medical Management: 30 ❖ Increased Intracranial Pressure (ICP) 31 ❖ SEIZURE DISORDERS 33 ❖ Epilepsy: 33 ❖ Status Epilepticus 34 ❖ Headache: 34 SEIZURE PRECAUTIONS 35 Chapter 62: Cerebrovascular Disorders 36 ❖ Ischemic Stroke (cerebrovascular accident; CVA) 36 ❖ Hemorrhagic strokes 38 Chapter 63: Neurologic Trauma 39 ❖ Head Injuries: 39 ❖ Spinal Cord Injury 40 Chapter 64: Neurologic Infections, Autoimmune Disorders, and Neuropathies 41 ❖ AUTOIMMUNE PROCESSES 41 ➢ MULTIPLE SCLEROSIS 41 ➢ MYASTHENIA GRAVIS 45 ➢ GUILLAIN-BARRE SYNDROME (GBS) 47 Chapter 64: Oncologic or Degenerative Neurologic Disorders 49 ❖ ONCOLOGIC DISORDERS OF THE BRAIN AND SPINAL CORD 49 ❖ DEGENERATIVE DISORDERS 49 ➢ PARKINSON’S DISEASE 49 ➢ HUNTINGTON DISEASE 51 ➢ ALZHEIMER’S DISEASE 53 ➢ AMYOTROPHIC LATERAL SCLEROSIS 55 ➢ MUSCULAR DYSTROPHIES 55 ➢ DEGENERATIVE DISK DISEASE 55 ➢ HERNIATION OF A CERVICAL INTERVERTEBRAL DISK 55 ➢ HERNIATION OF A LUMBAR DISK 55 ➢ POSTPOLIO SYNDROME 55 Neurological Medications 55 ❖ Antimyasthenic (Anticholinesterase) Medications 55 ❖ Multiple Sclerosis Medications 55 ❖ Antiparkinsonian Medications 55 ➢ Dopaminergic medications 55 ➢ Anticholinergic medications 56 ❖ Antiseizure Medications 56 NEURO VITAL SIGNS MONITORING 57 The Screening Neurological Examination 62 Essential screening neurological exam for adults and older children 63 Essential screening neurological exam for young children 64 The Traditional Screening Neurological Exam 65 Step-by-Step Guide to the Neurological Examination 66

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