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I have an 18 year old female who presented with symptoms of a cervical myelopathy with the lesion in the posterior columns. There was no motor involvement. Cervical MRI revealed an enhancing lesion consistent with an acute demyelinating plaque. Brain MRI was nornmal. Her exam is normal. |
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Certain features of myelitis are more worrisome for the subsequent development of MS. An incomplete transverse myelitis with a fairly discrete lesion by spinal MRI [as opposed to a multilevel confluent lesion] is actually more predictive of MS.
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Multiple sclerosis is a chronic disease, having effective treatments but no cure. Understanding of the clinical manifestations and the pathophysiology that leads to them is crucial for all of the professionals who treat, educate and advise patients. Such an understanding leads to enhanced patient knowledge of disease processes and improved compliance. This program will provide an in depth review of the immunology and pathophysiology of MS which will assist nurses in their management of MS disease and in their communication with patients.
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Robert Fox, MD
Michael Kaufman, MD
Marie Namey, RN, MSN, MSCN |
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There is evidence that patient-centered approaches to health care consultations may have better outcomes than traditional advice giving, especially when lifestyle change is involved. Motivational interviewing (MI) is a patient-centered approach that is gathering increased interest in health settings. It provides a way of working with patients who may not seem ready to make the behavior changes that are considered necessary by the health practitioner.
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Ken Resnicow, PhD (Moderator)
Deanna Broujos
Celeste Egan
April M. Hopper, PharmD
Faith Reilly, RN
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