Amyotrophic lateral sclerosis: Difference between revisions

(Created page with "==Background== *Progressive muscle atrophy/weakness due to degeneration of upper and lower motor neurons *Pts will rarely present to the ED undiagnosed ==Clinical Features== *Ac...")
 
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*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  
*Aspiration pneumonia
*[[Pneumonia (Main)|Aspiration 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

  1. Nebulized medications
  2. Steroids
  3. Antibiotics
  4. Assisted ventilation / intubation

Source

Tintinalli