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Medilexicon's medical dictionary myasthenia gravis
Body system myasthenia gravis effects
Medilexicon's medical dictionary myasthenia gravis
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Myasthenia gravis is an autoimmune disease that effects the skeletal muscles of the body at the neuromuscular junction. The 40th Edition of Gray’s Anatomy defines it as, “myasthenia gravis is essentially an autoimmune disease in which acetylcholine receptor proteins of neuromuscular junctions are attacked by autoantibodies.” (Gray’s). This chronic disease is characterized by muscles that fatigue quickly activity and gets better after rest. The muscles that are most often effected are those that control facial expressions, eyelids, chewing, swallowing, and talking, but sometimes those that control breathing, and movement in the neck and limbs are also impacted (“Myasthenia Gravis Fact Sheet,” 2010).
Cellular and histological component of the condition comparing normal to abnormal:
The exact cause of myasthenia gravis is still not completely proven; however, there have been many correlations linked between certain autoantibodies as well as thymus abnormalities in 80-90 percent of people affected by the disease (Bird, 2016). Normal function of a muscle at the neuromuscular junction involves a neurotransmitter called Acetylcholine and its receptor. When an action potential is sent from the neuron and arrives at the axon terminal,
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Further research has revealed that 40-70 percent of Caucasian patients contain an antibody that effects a different protein on the muscle membrane called the muscle-specific receptor tyrosine kinase (MuSK). In normal muscle tissue, MuSK plays a role in the recruitment of AChR binding proteins to stimulate the clustering of AChRs. The exact process of how these antibodies effect MuSK to cause myasthenia gravis is still not fully understood. However, the distinction between AChR and MuSK antibody positive myasthenia gravis is important because there is a difference between symptoms and treatments for the two categories of myasthenia gravis (Bird,
In the beginning phases of muscle contraction, a “cocked” motor neuron in the spinal cord is activated to form a neuromuscular junction with each muscle fiber when it begins branching out to each cell. An action potential is passed down the nerve, releasing calcium, which simultaneously stimulates the release of acetylcholine onto the sarcolemma. As long as calcium and ATP are present, the contraction will continue. Acetylcholine then initiates the resting potential’s change under the motor end plate, stimulates the action potential, and passes along both directions on the surface of the muscle fiber. Sodium ions rush into the cell through the open channels to depolarize the sarcolemma. The depolarization spreads. The potassium channels open while the sodium channels close off, which repolarizes the entire cell. The action potential is dispersed throughout the cell through the transverse tubule, causing the sarcoplasmic reticulum to release
1. James suffers from a condition called Duchenne muscular dystrophy. Explain the full meaning of this name.
Duchenne Muscular Dystrophy, also known as DMD, is the most common form of muscular dystrophy. Muscular dystrophy is a condition that is inherited, and it is when muscles slowly become more and more weak and wasted. Duchenne muscular dystrophy is a form of muscular dystrophy that is very rapid and is most commonly found in boys. In muscle, there is a protein named dystrophin. Dystrophin is encoded by the DMD gene. When boys have Duchenne muscular dystrophy, they do not produce enough dystrophin in their muscles. This causes weakness in their muscles. Parents can tell if their child has duchenne muscular dystrophy by looking for various symptoms.
...st the sacrolemma will depolarized, thus activation potentials along the T-tubules. This signal will transmit from along the T-tubules to sarcroplasmic reticulum's terminal sacs. Next, sarcoplasmic reticulum will release the calcium into the sarcroplasm leading to the next second event called contraction. The released calcium ions will now bind to troponin. This will cause the inhibition of actin and mysoin interaction to be released. The crossbridge of myosin filaments that are attached to the actin filaments, thus causing tension to be exerted and the muscles will shorten by sliding filament mechanism. The last event is called Relaxation. After the sliding of the filament mechanism, the calcium will be slowly pumped back into the scaroplasmic reticulum. The crossbridges will detach from the filaments. The inhibition of the actin and myosin will go back to normal.
It has been shown that intrathecal administriton of GABA receptor antagonists cause hyperalgesia and allodynia. Constitutive, the increase in the endogenous GABA activity in the spinal cord alleviate pain resulting from noxious and innoxious mechanical and thermal stimuli. Different GABA receptors have different roles in alleviating thermal and mechanical pain in different animal pain models. There is no study to date that has examined the involvement of GABA A and GABA B in sensory dimension of neuropathic pain resulting from compression of spinal cord. The current study tests the hypothesis that GABA A or GABA B receptors contributes to the allodynia and hyperalgesia observed after spinal cord injury. The results showed that the effect of GABA A and GABA B receptors on mechanical hyperalgesia is similar but these receptors have different effects on thermal hyperalgesia. While using baclofen as GABA B receptor agonist does not affect the thermal pain, thermal hyperalgesia resulting from spinal cord injury was greatly alleviated by different doses of GABA A agonist, muscimol. Both Baclofen and muscimol are able to reduce the mechanical and cold allodynia has been seen after spinal cord injury but the effect of baclofen is dose dependent with no effect in higher doses used in this study. While almost all doses of muscimol were used in this study reduce the amount of cold and mechanical allodynia. The other result obtained in this study is the short term effect of GABA agonist. The anitinociceptive effect of Baclofen and muscimol appear to be maxium at 15 min after injection and gradually diminished by time and their analgesic effect disappeared 3 hours after injection.
Flaccid dysarthria results from damage to the lower motor neurons (LMN) or the peripheral nervous system (Hageman, 1997). The characteristics of flaccid dysarthria generally reflect damage to cranial nerves with motor speech functions (e.g., cranial nerves IX, X, XI and XII) (Seikel, King & Drumright, 2010). Lower motor neurons connect the central nervous system to the muscle fibers; from the brainstem to the cranial nerves with motor function, or from the anterior horns of grey matter to the spinal nerves (Murdoch, 1998). If there are lesions to spinal nerves and the cranial nerves with motor speech functions, it is indicative of a lower motor neuron lesion and flaccid dysarthria. Damage to lower motor neurons that supply the speech muscles is also known as bulbar palsy (Pena-Brooks & Hedge, 2007). Potential etiologies of flaccid dysarthria include spinal cord injury, cerebrovascular accidents, tumors or traumatic brain injury (Pena-Brooks & Hedge, 2007). Possible congenital etiologies of flaccid dysarthria include Moebius syndrome and cerebral palsy. Flaccid dysarthria can also arise from infections such as polio, herpes zoster, and secondary infections to AIDS (Pena-Brooks & Hedge, 2007). Additionally, demyelinating diseases such as Guilian-Barre syndrome and myotonic muscular dystrophy can also lead to flaccid dysarthria (Pena-Brookes & Hedge, 2007). The lower motor neuron lesion results in loss of voluntary muscle control, and an inability to maintain muscle tone. Fasciculations, or twitching movements, may occur if the cell body is involved in the lesion (Seikel et. al., 2010). The primary speech characteristics of flaccid dysarthria include imprecise consonant production, hypernasal resonance, breathiness, and harsh voice (...
Myasthenia gravis (MG) is a chronic state that causes muscles to tire and weaken easily. The meaning of the term Myasthenia Gravis is broken up, My means Muscle, asthenia means lack of strength and Gravis means serious. In an autoimmune disorder the immune system attacks parts of the body. The part of the body that is attacked by the circulation of antibodies, is the muscular system, and in certain receptors for acetylcholine on muscle cells at the neuromuscular junctions.
Fibromyalgia Syndrome (FMS) is a musculoskeletal illness (which causes chronic pain) and a chronic fatigue disorder. It can also change sleep patterns and cause the following: digestive disorders, chronic headaches, painful menstrual periods, temperature sensitivity, morning stiffness, numbness or tingling of extremities, and even cognitive memory problems. The name fibromyalgia comes from "fibro" in Latin meaning tissue, "my" in Greek meaning muscle, and "algia" (also Greek) meaning pain.(source 5)
Turnpenny, P., Clark, C., Kelly, K. Intelligence quotient profile in myotonic dystrophy, intergenerational deficit, and correlation with CTG amplification. J. Med. Genet. 31: 300-305, 1994.
The human genome is a remarkable system composed of over 3 billion DNA base pairs that encode for the characteristics that makes people distinctly human and unique themselves. Without the genome’s nearly flawless ability to self-replicate the human species would cease to exist. As incredible as this replication methodology is, it is not without its faults. Genetic mutations, though rare and typically harmless, can strike at any time and in various ways. Still, when they do cause harm the effects can be profound and impossible to ignore. Hutchinson-Gilford Progeria Syndrome (HGPS) is an instance where the mutation of just one nucleotide has devastating results. The Mayo Clinic defines progeria as a progressive genetic disorder that causes children to age rapidly, beginning in their first two years of life. This study defines the disease of progeria by outlining symptoms and identifying causes that lead to its diagnosis. In addition, treatment methods and extensive research that give those affected by the disease hope for a brighter future are highlighted.
It is estimated that 1 out of every 5,600-7,700 boys ages 5-24 have Duchene or Becker muscular dystrophy. (“Data & Statistics,” 2012 April 6) Muscular dystrophy is a group of genetic diseases defined by muscle fibers that are unusually susceptible to damage. There are several different types of muscular dystrophy some of which shorten the affected person’s lifespan. (“Muscular dystrophy: Types and Causes of each form,” n.d.) There is a long history of the disorder but until recently there wasn’t much knowledge of the cause. (“Muscular Dystrophy: Hope through Research,” 16 April 2014) Symptoms are obvious and can be seen as soon as a child starts walking. (“Muscular Dystrophy,” 2012 January 19) Although muscular dystrophy mostly affects boys, girls can get it too. (“Muscular Dystrophy,” 2012 January 19) There is no cure for muscular dystrophy but there are several types of therapy and most types of muscular dystrophy are still fatal. (“Muscular Dystrophy: Hope through Research,” 16 April 2014)
Amyotrophic lateral sclerosis, or ALS, is a degenerative disease affecting the human nervous system. It is a deadly disease that cripples and kills its victims due to a breakdown in the body’s motor neurons. Motor neurons are nerve cells in the brainstem and spinal cord that control muscle contractions. In ALS, these neurons deteriorate to a point that all movement, including breathing, halts. Muscle weakness first develops in the muscles of body parts distant from the brain, such as the hands, and subsequently spreads through other muscle groups closer to the brain. Such early symptoms as this, however, can hardly be noticed.
When a person begins to suffer from Guillain- Barre Syndrome their myelin sheath of their nervous system is being attacked and destroyed by the immune system (NINDS, 2011). The myelin sheath begins to lose its ability to transmit signals rapidly and affectively. Since signals are not getting transmitted to the brain fast enough, a person begins to notice fewer sensory responses from the rest of the body (NINDS, 2011). A person wouldn’t be able to tell right away or at all if an item they are touching is hot, cold, or causing pain. There also wouldn’t be good signal transmission from the brain to the rest of the body (NINDS, 2011). There would be signs of the muscles being unable to respond to the weakened or distraught signals they were receiving. Since the myelin sheath is responsible for transmitting the signals from a long distance, the upper and lower extremities would be the first to show signs of muscle dysfunction.
The basic definition of myopathy is a disorder of the muscles usually causing muscle weakness. There are many different types of myopathy; however the three that will be discussed are inflammatory, congenital, and mitochondrial. Inflammatory Myopathy is the inflammation of the muscles. Congenital Myopathy is a delay in motor skills, skeletal and facial abnormalities which are shown at birth. Mitochondrial Myopathies are caused by genetic abnormalities. The history of myopathy is quite unclear; however in 1999 a new discovery of muscle disease in infants was made by Professor Laing. Since Professor Laing's discovery, world-wide identification of mutations in actin, has been shown to cause muscle weakness, sometimes called floppy baby syndrome. (Perkins expert helps revolutionise world view of disease, 2014)
Rationale: Therapeutic use of self by the nurse and concrete task definition and assignment reinforce positive coping strategies and allow caregivers to feel less guilty when tasks are delegated to multiple caregivers. Ackley and Ladwig p. 286