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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 1, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What sign do you see here, and what could be the underlying condition?

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

    DDx.jpg
     

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  2. gizem_A

    gizem_A Famous Member

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    gowers' sign indicating proximal muscle weakness, most likely due to Duchenne muscular dystrophy.
     


  3. dracomalfoy

    dracomalfoy Famous Member

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    Duchenne Muscular Dystrophy (Gowers sign)
     


  4. thirdcorpuscle

    thirdcorpuscle Well-Known Member

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    Gowers' sign --- Duchenne Muscular Dystrophy (DMD)
     


  5. Pavitra Viswanathan

    Pavitra Viswanathan Well-Known Member

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  6. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Duchenne muscular dystrophy
     


  7. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Gowers’ sign.

    The child needs to turn prone to rise (the key, early feature of Gowers’ sign), then uses his hands to climb up on his knees before standing (late feature), because of poor hip girdle fixation and / or proximal muscle weakness.

    Any child continuing to turn prone to rise after 3 years of age is likely to have a neuromuscular condition.
     


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