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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 19, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What’s your diagnosis?

    This is not a stroke. The shot was taken in the evening.

    I’ll post the correct answer in a couple of days!

    DDx.jpg
     

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    J.P.C. Peper, Aug 19, 2012
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  2. gizem_A

    gizem_A Famous Member

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    myasthenia gravis?
     

    gizem_A, Aug 19, 2012
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  3. Hasan

    Hasan Bronze Member

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    The shot was taken in the evening.............this is the clue i think which leads the condition to diagnose as Myasthenia gravis evident from Ptosis
     

    Hasan, Aug 19, 2012
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  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Yes, it may be myasthenia gravis.
     

    Emergency medicine Mike, Aug 19, 2012
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  5. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Agreed,Myasthenia gravis
     

    Gospodin Seki, Aug 20, 2012
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  6. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Myastenia gravis.

    An autoimmune disease mediated by antibodies to nicotinic acethylcholine receptors, interfering with the neuromuscular transmission via depletion of working post-synaptic receptor sites. Unlike in Lambert-Eaton syndrome (featuring pre-synaptic calcium-channel antibodies), tendon reflexes are normal because the synapses do not have time to become fatigued with such a brief muscle contraction.

    The most common symptom is increasing muscular fatigue over the day; in order, extra-ocular (ptosis), bulbar, face, neck, limb-girdle and trunk muscles are affected.
     

    J.P.C. Peper, Aug 22, 2012
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  7. dofus kamas

    dofus kamas Famous Member

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    maybe myasthenia gravis?
     

    dofus kamas, Aug 22, 2012
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