Amyotrophic lateral sclerosis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 6: | Line 6: | ||
*Acute respiratory failure | *Acute respiratory failure | ||
**Predicted by forced VC <25 mL/kg or 50% decrease from normal | **Predicted by forced VC <25 mL/kg or 50% decrease from normal | ||
*[[Pneumonia (Main)| | *Aspiration [[Pneumonia (Main)|pneumonia]] | ||
*Trauma related to extremity weakness | *Trauma related to extremity weakness | ||
Revision as of 01:40, 17 November 2011
Background
- Progressive muscle atrophy/weakness due to degeneration of upper and lower motor neurons
- Pts will rarely present to the ED undiagnosed
Clinical Features
- Acute respiratory failure
- Predicted by forced VC <25 mL/kg or 50% decrease from normal
- Aspiration pneumonia
- Trauma related to extremity weakness
Management
- Nebulized medications
- Steroids
- Antibiotics
- Assisted ventilation / intubation
Source
Tintinalli