Amyotrophic lateral sclerosis: Difference between revisions
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Revision as of 01:43, 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
See Also
Source
Tintinalli