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Multiple sclerosis in adults: management
National Institute for Health and Care Excellence
Guidelines summary includes recommendations that are relevant to the primary care setting. Please refer to the full guideline for the complete set of recommendations
Be aware that clinical presentations in multiple sclerosis (MS) include:
loss or reduction of vision in one eye with painful eye movements
ascending sensory disturbance and/or weakness
problems with balance, unsteadiness or clumsiness
altered sensation travelling down the back and sometimes into the limbs when bending the neck forwards (Lhermitte's symptom)
Be aware that usually people with MS present with neurological symptoms or signs as described above, and:
are often aged under 50 and
may have a history of previous neurological symptoms and
have symptoms that have evolved over more than 24 hours and
have symptoms that may persist over several days or weeks and then improve
Do not routinely suspect MS if a person's main symptoms are fatigue, depression or dizziness unless they have a history or evidence of focal neurological symptoms or signs
Management of asthma in adults over 65 years of age
Development group: Gruffydd-Jones, McArthur, Murphy, Russell & Wise.
This management algorithm was developed by a multidisciplinary expert panel: Gruffydd-Jones K et al with the support of a grant from Teva UK Limited.