Course 2: Clinical Presentation

This course reviews the different types of MS and their clinical features, including atypical presentations of the condition.

Common symptoms are discussed and defined, along with the prognosis of people with MS.

What you will Learn

After completing this course, you should be better able to:

  • Explain what is meant by the term “clinically isolated syndrome”
  • Identify the various types of MS and their natural history and progression
  • Describe the variability of the clinical course of MS and resulting disability
  • Determine the nature and impact of some of the more common symptoms found in people with MS
  • Outline approaches used to identify some of these symptoms
  • Describe the features of an MS relapse
  • Identify key questions to ask a person with MS who you suspect is experiencing a relapse
  • Assist a person with MS to differentiate between fluctuation in symptoms, relapse and potential infection, and to understand trigger factors
  • Outline the differences between adult-onset and early-onset MS
  • Define late-onset MS
  • Describe other less common variations of MS
  • Specify disease progression factors and symptoms that are predictive of long-term outcomes

Target Audience

This activity has been developed to meet the educational needs of nurses who have an interest in optimising the management of people with MS.

Target Audience

This activity has been developed to meet the educational needs of nurses and rehabilitation practitioners who have an interest in optimising the management of people with MS.

Duration

The estimated time to complete this course is 5 hours.
 
Method of Participation

There are no fees for participating and receiving CME credit for this activity. Participants must:

  1. Read the learning objectives
  2. Participate in the entire educational activity
A certificate of completion will be available to download at the end of the course.

Practical Information

Credits
7
Enrollments
4566
Includes
Exam Pre-survey Post Survey
Languages
Dutch French English German Greek Norwegian Polish Portuguese Romanian Spanish Italian Czech Hungarian

Course Sections

1. Introduction
2. MS types and clinical features
2.1 Early signs of MS
2.2 Radiologically isolated syndrome
2.3 Types of MS
2.3.1 Relapsing-remitting MS
2.3.2 Secondary-progressive MS
2.3.3 Primary-progressive MS
2.4 Summary
3. Typical signs and symptoms
3.1 Common symptoms
3.1.1 Fatigue
3.1.2 Sleep disorders
3.1.3 Vision impairment
3.1.4 Tremor
3.1.5 Bladder dysfunction
3.1.6 Bowel dysfunction
3.1.7 Sexual problems
3.1.8 Speech difficulties
3.1.9 Swallowing difficulties
3.1.10 Cognition
3.1.11 Spasticity
3.1.12 Pain
3.1.13 Altered mobility and balance
3.1.14 Depression
3.2 Common symptoms in progressive MS
3.3 Summary
4.0 Differentiating between initial clinical presentation and a relapse
4.1 What is a relapse?
4.2 The role of the nurse
4.3 Summary
5.0 Atypical presentation
5.1 Paediatric presentation
5.2 Late onset
5.3 Benign MS
5.4 Malignant MS
5.5 Neuromyelitis optica
5.6 Summary
6.0 Prognosis
6.1 Prognostic factors
6.2 Summary
Summary
References
Clinical case
Management issue 1
Recommended approach
Case continues
Management issue 2
Recommended approach
Case conclusion and take home points
References
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