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21 Cards in this Set

  • Front
  • Back

what blood test you get for myopathy?

CK




shows how much muscle is broken and using ATP


wait a few days until after excercise




others: aldolase, LDH, AST/ALT

proximal limb girdle weakness

duchenne, becker


toxic


limb girdle MD


myotonic dystrophy type II

Duchenne, becker

proximal limb girdle weakness




X-linked (21.1), biggest gene product


connects actin to cell membrane




Duchenne - early, no product


Becker - late, some product, hits <3




Sx - leggs affected more than arms


Dx - genetic tests

limb girdle MD

proximal limb girdle weakness

myotonic MD Type II

proximal limb girdle weakness

Myotonic MD Type I

most common MD in adults


facies, failure to relax




in your 30s onset


distal arm > prox arm weakness


HIGH <3 involvement




Genetics - CTG repeat

toxic MD

proximal limb girdle weakness

distal limb MD

distal limb MD

prox arm / distal leg

emery dreifuss




FSH - winged scapula

dist arm / prox leg

inclusion body myositis

inclusion body myositis

dist arm / prox leg




rimmed vacoules


basophilic inclusions


amyloid deposits




Rx - none

inclusion body myositis




dist arm / prox leg


rimmed vacoules


basophilic inclusions


amyloid deposits




Rx - none

ptosis

OPMD




mito disorders

neck extensors

polymyositis

polymyositis

neck extensors




prox weakness


dysphagia


resp distress




endomysial inflam




Rx - steroids

polymyositis




neck extensors


prox weakness


dysphagia


resp distress




endomysial inflam




Rx - steroids

OPMD

ptosis

Mito disorders

ptosis

Dermamyositis

prox weakness


heliotrope rash


grotton's papules




perifasicular microangiopathy




Rx - roids, ASSESS FOR MALIGNANCY

dermamyositis




perifasuclar microangiopathy




prox weakness


heliotrope rash


grotton's papules




Rx - roids, ASSESS MALIGNANCY

dermamyositis




heliotrope rash, grotton's papules, prox weakness




perifasicular angiopathy




Rx - roids, ASSESS MALIGNANCY