Myopathies

Myopathies

Symptoms
1. General
  1. Weakness
    1. Aching
      1. Cramps
        Pain
        Stifness
        Tenderness
        Tightness
2. Localized
  1. Inability to: bury eyelashes, horizontal smile, whistle
    1. Diplopia, ptosis, squint
      1. nasal speech, weak cry, nasal regurgitation of liquids, poor suck, difficulty swallowing aspiration pneumonia, cough during meals
        Poor head control
        Scoliosis, lordosis, protuberant abdomen, difficulty sitting up
        difficulty lifting objects overhead, scapular winging
        unable to do tight fist finger/wrist drop
        waddling gait, Gower’s sign Difficulty climbing stairs
        inability to walk on heels\toes Foot drop
        Use accessory muscles
Treatment
1. PT
  1. Assesment
    1. History, Onset, age, Distribution, Course, Myalgia, Cramp, Contracture, Dark urine Myotonia, Stiffness /warming up phenomena, Aggravating: exercise/diet/temperature/drug, Biological: CPK dosage
  2. Treatment
    1. 1. Increased ms.strength
      1. 2. Increased balance
        3. Increased flexibility
        4. Reduced risk of falls
2. Assistive Devises
3. Medication
4. Surgery
Types
1. Inherited myopathies
  1. Duchenne and Becker muscular dystrophy
    1. limb-girdle muscular dystrophy
      1. FSH muscular dystrophy
        Congenital muscular dystrophy
        Oculopharyngeal muscular dystrophy
        Distal muscular dystrophy
        Emery DREIFUS dystrophy
        Myotonic dystrophy
2. Endocrine myopathies
  1. Steroid myopathy
    1. Adrenal gland disorder
    2. Hyperthyroid myopathy:
      1. overproduction of thyroxine
      2. Hypothyroid myopathy
        underproduction of thyroxine
        Cushing's disease
        overproduction of pituitary and adrenal glands
        Excess parathyroid
        Hormone-secreting tumors
3. Inflammatory myopathies
  1. Autoimmune disorders
    1. Caused By
  2. Polymyositis (PM)
  3. Dermatomyositis (DM)
4. Toxic myopathies
  1. Exposure to certain medications and chemicals
    1. Caused By:

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	Criado por arwabdulah mais de 9 anos atrás