Experience attacks of worsening neurologic function (relapses) followed by partial or complete recovery periods (remissions). Secondary-progressive MS Disease worsens more steadily. Exacerbation, relapses, &/or plateaus may not occur. Primary-progressive MS Slowly worsening neurological functioning w/ no periods of remission. Progressive-relapsing MS Steadily worsening disease along w/ periods of exacerbations which may or may not be followed by periods of remission. Typical symptoms: Fatigue, numbness, walking/balance/coordination problems, bladder dysfunction, bowel dysfunction, vision problems, dizziness and vertigo, sexual dysfunction, pain, cognitive dysfunction, emotional changes, depression, & spasticity. Treatment: Immunomodulatory alter course by slowing progression & reducing relapse rate. Steroidal meds reduce severity & duration of exacerbations. Accommodations: Weakness/fatigue (e.g., modified work schedule). Motor dysfunction (e.g., automatic door openers). Cognitive problems (e.g., written memos). Sensory problems (e.g., use of large print). Heat insensitivity (e.g., air-conditioned work environment). Diabetes Type 1 AKA juvenile or insulin dependent. Typically, 1st diagnosed in children, teens, or young adults. Beta in pancreas stop producing insulin because body’s immune system has destroyed them. Acute onset Symptoms: Frequent urination, drinking, eating, and weight loss. Severe attack can cause coma/death. Type 2 AKA adult-onset Most prevalent form of diabetes. Insulin resistance: fat, muscle, and liver cells fail to use insulin properly & over time the pancreas loses the ability to secrete sufficient insulin in response to increased blood sugar levels. Overweight & inactive Type 2. Slower & insidious onset. Symptoms: Fatigue, nighttime urination (nocturia), and vision difficulties.
Experience attacks of worsening neurologic function (relapses) followed by partial or complete recovery periods (remissions). Secondary-progressive MS Disease worsens more steadily. Exacerbation, relapses, &/or plateaus may not occur. Primary-progressive MS Slowly worsening neurological functioning w/ no periods of remission. Progressive-relapsing MS Steadily worsening disease along w/ periods of exacerbations which may or may not be followed by periods of remission. Typical symptoms: Fatigue, numbness, walking/balance/coordination problems, bladder dysfunction, bowel dysfunction, vision problems, dizziness and vertigo, sexual dysfunction, pain, cognitive dysfunction, emotional changes, depression, & spasticity. Treatment: Immunomodulatory alter course by slowing progression & reducing relapse rate. Steroidal meds reduce severity & duration of exacerbations. Accommodations: Weakness/fatigue (e.g., modified work schedule). Motor dysfunction (e.g., automatic door openers). Cognitive problems (e.g., written memos). Sensory problems (e.g., use of large print). Heat insensitivity (e.g., air-conditioned work environment). Diabetes Type 1 AKA juvenile or insulin dependent. Typically, 1st diagnosed in children, teens, or young adults. Beta in pancreas stop producing insulin because body’s immune system has destroyed them. Acute onset Symptoms: Frequent urination, drinking, eating, and weight loss. Severe attack can cause coma/death. Type 2 AKA adult-onset Most prevalent form of diabetes. Insulin resistance: fat, muscle, and liver cells fail to use insulin properly & over time the pancreas loses the ability to secrete sufficient insulin in response to increased blood sugar levels. Overweight & inactive Type 2. Slower & insidious onset. Symptoms: Fatigue, nighttime urination (nocturia), and vision difficulties.
Comprehensive_CRC_Study_Guide.docx