Guillain Barre Patho
Autoimmune reversible destruction of the peripheral nervous system
Guillain Barre symptoms
Ascending weakness and paralysis
(including ANS - hypotension and bradycardia)
Guillain Barre cause
Recent history of a respiratory or GI virus
Guillain Barre treatment
Plasmapheresis within 2 weeks
Prednisone, cytoxan, imuran
Parkinson's patho
Decrease in dopamine in the brain - decreased dopamine = increased acetylcholine
(muscle rigidity and tremors)
Parkinson's symptoms
Tremor at rest
Mask face
Forward flexion
Depression
Pin-rolling
Parkinson's meds - 6
Anticholinergic-artane, Cogentin, Akineton, kemadrin (blocks acetylcholine)
MAOI -eldepryl, selegiline (inhibits enzyme that inactivates dopamine)
Dopaminergics-levodopa, symmetrel (acts like dopamine)
Dopamine agonists -parlodel, Permax (activate dopamine receptors)
Sinemet-combo of levodopa to supply dopamine and carbidopa to potentiate the
levodopa
Beta blockers-Inderal (treats tremors)
Parkinson's surgeries
Pallidotomy (decrease rigidity)
Fetal tissue implants
Brain stimulators
Remove thymus (decrease tremors)
Parkinson's diet
low protein
Multiple Sclerosis patho
Autoimmune patchy plaques destroying the myelin sheath of the CNS
Multiple Sclerosis symptoms