Multiple sclerosis physical examination

Jump to navigation Jump to search

Multiple sclerosis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Multiple sclerosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography or Ultrasound

CT Scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Alternative Therapies

Primary Prevention

Secondary Prevention

Tertiary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Multiple sclerosis physical examination On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Multiple sclerosis physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Multiple sclerosis physical examination

CDC on Multiple sclerosis physical examination

Multiple sclerosis physical examination in the news

Blogs on Multiple sclerosis physical examination

Directions to Hospitals Treating Multiple sclerosis

Risk calculators and risk factors for Multiple sclerosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Physical examination of patients with multiple sclerosis is usually remarkable for lhermitte's sign, spasticity, increased reflexes, internuclear ophthalmoplegia, optic neuritis, gait disturbance, and urinary incontinence.

Physical Examination

Physical examination of patients with multiple sclerosis is usually remarkable for:

Appearance of the Patient

  • Gait and balance disturbance: Involvement of cerebellar tracts can cause Gait and balance problems in multiple sclerotic patients.[1]

Vital Signs

Skin

  • Skin examination of patients with multiple sclerosis is usually normal.

HEENT

Neck

  • Neck examination of patients with multiple sclerosis is usually normal.

Lungs

  • Pulmonary examination of patients with multiple sclerosis is usually normal.

Heart

  • Cardiovascular examination of patients with multiple sclerosis is usually normal.

Abdomen

  • Abdominal examination of patients with multiple sclerosis is usually normal.

Back

  • Back examination of patients with multiple sclerosis is usually normal.

Genitourinary

Neuromuscular

Extremities


References

  1. Rinker JR, Salter AR, Walker H, Amara A, Meador W, Cutter GR (January 2015). "Prevalence and characteristics of tremor in the NARCOMS multiple sclerosis registry: a cross-sectional survey". BMJ Open. 5 (1): e006714. doi:10.1136/bmjopen-2014-006714. PMC 4289717. PMID 25573524.
  2. Acevedo, A. R.; Nava, C.; Arriada, N.; Violante, A.; Corona, T. (2000). "Cardiovascular dysfunction inmultiple sclerosis". Acta Neurologica Scandinavica. 101 (2): 85–88. doi:10.1034/j.1600-0404.2000.101002085.x. ISSN 0001-6314.
  3. Kim JS (May 2004). "Internuclear ophthalmoplegia as an isolated or predominant symptom of brainstem infarction". Neurology. 62 (9): 1491–6. PMID 15136670.
  4. Mills DA, Frohman TC, Davis SL, Salter AR, McClure S, Beatty I, Shah A, Galetta S, Eggenberger E, Zee DS, Frohman EM (August 2008). "Break in binocular fusion during head turning in MS patients with INO". Neurology. 71 (6): 458–60. doi:10.1212/01.wnl.0000324423.08538.dd. PMID 18678831.
  5. Frohman EM, Zhang H, Kramer PD, Fleckenstein J, Hawker K, Racke MK, Frohman TC (September 2001). "MRI characteristics of the MLF in MS patients with chronic internuclear ophthalmoparesis". Neurology. 57 (5): 762–8. PMID 11552000.
  6. Beck RW, Trobe JD (1995). "What we have learned from the Optic Neuritis Treatment Trial". Ophthalmology. 102 (10): 1504–8. PMID 9097798.
  7. "The 5-year risk of MS after optic neuritis: experience of the optic neuritis treatment trial. 1997". Neurology. 57 (12 Suppl 5): S36–45. 2001. PMID 11902594.
  8. Gutrecht JA, Zamani AA, Slagado ED (1993). "Anatomic-radiologic basis of Lhermitte's sign in multiple sclerosis". Arch. Neurol. 50 (8): 849–51. PMID 8352672.
  9. Al-Araji AH, Oger J (2005). "Reappraisal of Lhermitte's sign in multiple sclerosis". Mult. Scler. 11 (4): 398–402. PMID 16042221.
  10. Sandyk R, Dann LC (1995). "Resolution of Lhermitte's sign in multiple sclerosis by treatment with weak electromagnetic fields". Int. J. Neurosci. 81 (3–4): 215–24. PMID 7628912.
  11. Kanchandani R, Howe JG (1982). "Lhermitte's sign in multiple sclerosis: a clinical survey and review of the literature". J. Neurol. Neurosurg. Psychiatr. 45 (4): 308–12. PMID 7077340.
  12. Boissy AR, Cohen JA (September 2007). "Multiple sclerosis symptom management". Expert Rev Neurother. 7 (9): 1213–22. doi:10.1586/14737175.7.9.1213. PMID 17868019.

Template:WH Template:WS