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8617397
Ahmad Cannot Run
Description
Mind Map on Ahmad Cannot Run, created by Salma Mk on 21/04/2017.
Mind Map by
Salma Mk
, updated more than 1 year ago
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Created by
Salma Mk
over 7 years ago
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Resource summary
Ahmad Cannot Run
Anatomy of Foot & Ankle
Ankle Joint
ligaments
medial
lateral
blood supply
nerve supply
muscles of the sole of the foot
4 layers
arches of the foot
Possible Causes of Muscle Weakness
infection
poliomyelitis
lyme disease
neurological
Guillain Barre Syndrome
Medications
Statin
Amiodarone
Electrolyte
Hyperkalemia
Metabolic
Acid Maltase deficiency
Genetic
Duchenne Muscular Dystrophy
Muscular Dystrophies: are inherited disorders which primarily but not exclusively affect the skeletal muscles
Clinical Characteristics
progressive weakness
intellectual impairment
pseudo hypertrophy of the calves
proliferation of connective tissue in muscle
X linked recessive
genetic defect in Xp21
deletion
duplication
point mutation
Pathogenesis
without dystrophin, sarcolemma becomes fragile, loss of calcium homeostaasis, cell death occurs
muscle cell degeneration will outpace regeneration
regeneration capacity is exhausted, fibres are replaced by connective tissue and fat
Clinical Progression
Prognosis
poor
100% mortality at mid 20s
due to one of the complications
lung failure
heart failure
aspirations
airway obstruction
Management
no treatment, only improving quality of life by reducing complications
Pharmacological approach
Prednisone
physical and occupational therapy
Investigations
CK test
muscle biopsy
to check the myopathic changes
western blot
to detect and analyze dystrophin
Tested by Neurological Examination of the LL
Sensation
Motor Function
To test Muscle strength
Muscle Strength Scale
Coordination
Gait
abnormal gait
due to abnormalities in the
tip toe gait
Media attachments
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