s******n
发帖数: 132 | 1 14 y/o boy with progreaaive muscle weakness and atrophy only left side arm
and leg not involving face. Pt states that his left arm can't hold bags more
7 minutes. no sensory abnormality
I order cpk, tsh, t4, t3, ana, emg, still wait for the results
Any clue?
History of extraopia and amylopia, and asthma | A*******s
发帖数: 9638 | 2 Can you give a brief PE, like reflex and babinski sign? | a******a
发帖数: 57 | 3 What is the course of progression on his muscle weakness? Any weight loss,
and fever? Any nausea, vommitting?
Then what is the PE... | s******n
发帖数: 132 | 4 PE. REFLEX NORMAL. MUSCLE STRENGTH 5/5
I did not do babinski
Pt will come back in 2 weeks. I will give more info
【在 A*******s 的大作中提到】
: Can you give a brief PE, like reflex and babinski sign?
| A*******s
发帖数: 9638 | 5 Tough one. LMN lesions like radiculoathy cause muscle atrophy but low DTR.
UMN lesions are less likely causing muscle atrophy with a muscle strength 5/
5. Motor neuron disease is hard to imagine for a teenager.
【在 s******n 的大作中提到】
: PE. REFLEX NORMAL. MUSCLE STRENGTH 5/5
: I did not do babinski
: Pt will come back in 2 weeks. I will give more info
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