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TUBEROUS SCLEROSIS

CLINICAL MANIFESTATIONS

DIAGNOSTIC TEST

DEFINITION

NURSING CARE PLAN
(A. M Brady, February 2013)

TREATMENT
(A. M Brady, February 2013)

DIET

SURGICAL TREATMENT
(A. M Brady, February 2013)

COMPLICATIONS

A rare disorder that causes tumors or growths

In the brain and other organs (kidneys, eyes etc)
(A.M Brady, February 2013)

Developmental delays

Pitted teeth

Rash on face - facial angiobromals

Mental disabilities (A. M Brady, February 2013)

Spots on the skin - hypopigmental macules

Seizures

Enchocardiogram to look any growth of tumors on the geart

Ultrasound for the kidneys to look for any tumors

CT scan and MRI of the brain to check for tumors

Ultraviolet light examination of skin(A. M Brady, February 2013)

Small growths can be treated with laser treatment though they come back

For intellectual disabilities special care is provided

Low-carb vegetables

Cheese

Seafood

Meat and poultry

Low carb, high fat diet

Eggs

Nuts and seeds (A. M Brady, February 2013)

Heart complications

Kidney damage

Excess fluids in and around the brain

Lung failure

Increased risk of malignant tumors

Vision damage
(A. M Brady, February 2013)

RISK FACTORS

PATHOPHYSIOLOGY

Random cell division error

Family history of tuberous sclerosis
(A. M Brady, February 2013)

Cell division and growth gets retarded

Leading to tuberous sclerosis that causes tumors

Mutations on the these genes leads to a disturbed production of proteins

To grow in various locations in organs of the body.
(A. M Brady, February 2013)

TSC1 and TSC1 are known to be genes that are responsible for protein production

NURSING CARE PLAN
(A. M Brady, February 2013)

Vagus nerve stimulation - involves sending electric impulses to the vagus nerve thus treating seizures and depression.

Focal cortical resection - removal of the part of the brain causing seizures.

Corpus collasotomy - surgical procedure where the corpus collesium gets cut to stop spread of seizures.

EXPECTED OUTCOME

NURSING INTERVATIONS

PROBLEM

:skin rash

Rash free skin

Offer or apply topical antifungals and antibiotics

EXPECTED OUTCOME

NURSING INTERVATIONS

PROBLEM

Patient will maintain effective respiratory pattern with airway patent or aspiration prevented.

Risk for ineffective airway clearance

Monitor respiratory rate, rhythm, depth, and effort of aspiration.

Loosen clothing from neck or chest and abdominal areas

To help breathing or chest expansions