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Quiz: What is cerebral palsy?
Ans: Chronic impairment of muscle tone, strength, coordination, or
movements. It is believed to result from cerebral injury before birth, during
delivery or in the perinatal period
Quiz: Clinical features of cerebral palsy
Ans: spasticity, lack of coordination, fine motor difficulties, ataxia, lethargy,
hypotonia, or dystonia.
Seizures, mental retardation, speech disorders, hearing, vision, and sensory
often accompany
Quiz: PE of cerebral palsy
Ans: hyperreflexia, hypotonia, microcephaly, limb length discrepancies,
cataracts, retinopathy, and congenital heart defects
Quiz: Treatment for cerebral palsy
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, Ans: Supportive
Quiz: Restless leg syndrome
Ans: subjective need to move the legs and abnormal sensations, including
tingling, creeping or crawling sensation, itching, heaviness, burning, coldness or
tension. Sxs occur most commonly during periods of prolonged inactivity or
rest.
Sleep disturbance is most common
Women more affected
May occur secondary to peripheral neuropathy, uremia, pregnancy or iron
deficiency
Quiz: Although most cases of RLS are primary, what are some secondary
causes?
Ans: peripheral neuropathy, uremia, pregnancy, or Fe deficiency
Quiz: Treatment for RLS
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, Ans: Dopamine agonists (pramipexole, ropinirole)*DOC
Benzos - (clonazepam)
Opiate agonists are last choice
A trial of iron therapy is now recommended in all pts w RLS
Quiz: What is Bell Palsy?
Ans: Unilateral facial muscle weakness without evidence of other neurologic
disease and without apparent cause. More than 60% of cases occur on the
right side.
Thought to be caused by herpes simplex virus activation. End result is damage
to the myelin layer facial nerve
More frequently seen in pregnant women and diabetics
There can be a paralysis of all muscles supplied by cranial nerve 7 (complete
palsy) or variable weakness to different muscles (incomplete palsy)
Quiz: Clinical features of Bell palsy
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