Biology Quiz!!!!!!!!!!!?
Question by yaso_azzam: Biology quiz!!!!!!!!!!!?
1Mary is 25yo female, with no significant past medical history or history of infection. She presented to her doctor with approximately 1year history of on and off complaints of lower extremity weakness, bladder and vision problems and inability to concentrate at a task. Her primary physician suspects a neurological problem and refers her a specialist.
a)What is the suspected diagnosis?
b)What is the etiology/cause of her condition?
c)How would you treat her? And what’s her prognosis?
Best answer:
Answer by AlessioIbrahim
Hmmm very interesting question cant wait to see the answer myself!!
This isnt one of them! haha
Answer by optimist
Well i think it sounds like fibromyalgia syndrome or wut we call FMS
den i guess if u look up on internet for that you will find cause and treatments
i did quick search and found:
Causes and Risk Factors of Fibromyalgia
Fibromyalgia can be a complication of hypothyroidism, rheumatoid arthritis, or in men, sleep apnea.
Although the exact causes of fibromyalgia are not known, there are a number of theories as to the cause of this syndrome. The theories include:
The cerebral spinal fluid in those afflicted with fibromyalgia had more substance P (a neuropeptide that carries pain signals).
• There is a diminished blood flow to the two areas of the brain that help regulate the amount of pain signals the brain receives.
The syndrome is psychosomatically based. Psychological factors such as anxiety, depression, disappointment, or failure to achieve goals somatize (express themselves) as physical symptoms such as backache or sore muscles.
Fibromyalgia is caused by sleep disturbances. Tests of people with fibromyalgia often show a sleep disorder in which the deepest or most restful stage of sleep (stage IV) is disturbed or interrupted. This disruption in sleep may be responsible for the shortage of the growth hormone called somatomedin-C which is produced in deep sleep. This hormone is responsible for muscle repair and maintenance.
There is a deficit in the levels of tryptophan. Tryptophan is a neurotransmitter that plays an important role in inhibiting pain and inducing deep sleep.
Prognosis of Fibromyalgia
The disease may be long-lasting, but it is not progressive. There is no long-term organ damage.
Treatment of Fibromyalgia
There is presently no cure for fibromyalgia, but the symptoms of this syndrome can be controlled by education, exercise, medication, sleep, and stress reduction.
Education. Education begins with reassurance that the pain is valid; however the condition is not crippling, does not weaken joints or muscles, is not life-threatening and need not hinder the ability to work. Professionals try to reinforce that fibromyalgia is not a disease but a constellation of symptoms that add up to “pain,” for which sufferers need a large amount of support.
Exercise. The emphasis is often on muscle conditioning and programs to improve aerobic fitness (such as swimming, cycling, walking and stationary cross-country ski machines) as well as physical therapy. Patients should be told that exercise is safe and effective. After an initial training period, the exercise regimen chosen should be done daily for 30 to 40 minutes.
Medication. To reduce fatigue, relieve muscle pain and spasm, and promote sleep the doctor may prescribe medication. Medications may include tricyclic antidepressants such as amitriptyline (Elavil) or Nortriptyline (Pamelor), selective serotonin reuptake inhibitors (SSRI’s) such as fluoxetine (Prozac), or muscle relaxants such as Cyclobenzaprine (Flexeril). NSAIDS (non-steroidal anti-inflammatory drugs) are generally not useful. Newer medications which decrease pain sensitivity in the brain include Neurontin (gabapentin) or Ultram (tramadol); these may be helpful for pain control. Opioids are usually not advisable given the potential for creating dependency and addiction. Steroids are ineffective. For severe pain in the tender points, the doctor may give an injection of a local anesthetic to help with the pain.
Sleep. Patients with fibromyalgia need adequate sleep every night.
Stress reduction. Since stress and tension can contribute to the symptoms, relaxation techniques such as muscle relaxation, yoga and meditation can be very helpful. Acupuncture may be beneficial. Stress reduction might also include biofeedback, stress modification exercises, relaxation tapes, and psychological counseling.
HOPE THIS HELPS =)
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