Published on May 31, 2014
Bifacial weakness • Guillaine barre syndrome (peripheral nerve) • Myasthenia gravis (neuromuscular junction) • Dystrophia myotonica (muscle) • Fascioscapulohumeral dystrophy (muscle)
• Adult onset • Autosomal dominant disorder • Characterized by progrssive weaness and degeneration of skeletal muscle that control movement Dystrophia myotonica
• History taking & PE – Facial features: 1. Frontal balding 2. Wasting of temporalis 3. Bilateral proptosis 4. Wasting of masseter 5. Elongated face 6. Bifacial weakness 7. Pouting of lips 8. Wasting of sternocleidomastoid-swan neck – Muscle • wasting • Weakness : site, onset, progression, severity/function affected (SOPS) • Myotonia : grip object, difficult to release/ hard to get up from seated position – Complications • Eyes : cataract • CVS : arrhythmia (heart block), hear failure • Respi : lung infection • Endocrine : DM • Hypogonadism : gynaecomastia, loss of axillary and pubic hair – Family history – RULE OUT GUILLAIN BARRE, MYASTHENIA GRAVIS, FASCIOSCAPULOHUMERAL DYSTROPHY
*myotonia – neuromuscular disorder where the relaxation of muscle is impaired. Repeated effort will be needed to relax the muscle *hypogonadism – reduced functional activity of the gonads, thus reduced the sex hormone biosynthesis *gynaecomastia is results of imbalance between estrogen: testosterone ratio, incr estrogen will stimulate breast glandular tissue hypertrophy.
PE (express pg 4) 1. SHAKE HAND-slow relaxation of muscle 2. General inspection- face features & muscle wasting 3. Hands – small muscle wasting – percussion of thenar eminence show abduction of thumb and slow relaxation – RADIAL PULSE – tone, power, reflex, sensory, proprioception, coordination 4. Eyes – cataract 5. Neck – wasting of sternocleidomastoid (swan neck) 6. CHEST – Axillary hair- loss dt hypogonadism – breast-gynaecomastia – CVS- irregular rhythm and intensity of s1 s2 (atrial fibrillation), gallop rhythm & basal lung crackles(heart failure) 7. End by doing fundoscopy (diabetic retinopathy), pubic hair (hypogonadism), blood glucose level
• IX- serum creatinine kinase, electromyography (EMG) • TX – There is no specific treatment to stop or reverse any form of MD. – Treatment may include physical therapy, respiratory therapy, speech therapy, orthopedic appliances used for support, and corrective orthopedic surgery. – Drug therapy includes corticosteroids to slow muscle degeneration – Anticonvulsants(phenytoin) to control seizures and some muscle activity, – immunosuppressants to delay some damage to dying muscle cells – antibiotics to fight respiratory infections. – Some individuals may benefit from occupational therapy and assistive technology. – Some patients may need assisted ventilation to treat respiratory muscle weakness – pacemaker for cardiac abnormalities.
Calcification Inhibitors in CKD and Dialysis Patients
Willkommen auf der Webseite der CNS Medizintechnik GmbH. Bitte wählen Sie ein Produkt/ eine Produktgruppe oder eine Dienstleitsung in der Menüleiste.
Looking for online definition of CNS in the Medical Dictionary? CNS explanation free. What is CNS? Meaning of CNS medical term. What does CNS mean?
Vocabulary words for Swine Med- CNS disease (exam 2). Includes studying games and tools such as flashcards.
Gail C. Parker MEd, CNS. 340 likes · 2 talking about this. Gail has Defy Diabetes Naturally for over 20 years and shares the secrets she discovered for...
CNS Medizintechnik GmbH ... office: +49 4559 188 227 - mobile: +49 172 40 33 421 - email: email@example.com
Here are the top 10 Med/surg Cns profiles on LinkedIn. Get all the articles, experts, jobs, and insights you need.
CNS, recognized in both 2013 and 2014 as being one of the fastest growing companies in the United States by Inc Magazine, is both an information technology ...
About USU. The mission of the Uniformed Services University of the Health Sciences is to educate, train and prepare uniformed services health professionals ...
CNS-TuBa Düsseldorf . CNS‐TuBa Düsseldorf ist die interdisziplinäre Tumorgewebebank des Instituts für Neuropathologie und der Klinik für ...
The so-called "early onset" cases of AD in persons in their 30's, 40's, and 50's may have a genetic basis, linked to the APP, PSEN1, and PSEN2 genes.