muscle and the neuromuscular junction Flashcards

1
Q

what would this indicate>

weakness
low tone
fasciculations?

A

lower motor neurone problem

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2
Q

most common disorder of neuromuscular junction?

A

myasthenia gravis

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3
Q

autoimmune antibodies to acetyl choline receptors

A

myasthenia gravis

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4
Q

clinical features of myasthenia gravis?

A

fluctuating weakness- worse through day
extraocular weakness, facial and bulbar weakness

limb weakness- typically proximal

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5
Q

how do you treat myasthenia gravis?

A

pyridostimine ( acetly chlonesterase inhibitor)

thymectomy
immunomodulating
steroids

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6
Q

what are fasciculations?

A

visible fast fine spontaneous twitch

can occur in healthy muscle die to anxiety, caffeine, or stress or fatigue

occurs in denervated msucle which become hyperexcitable

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7
Q

what is myotonia?

A

failure of muscle relaxation after use

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8
Q

main symptoms of muscle disease?

A

myalgia
muscle weakness
wasting
hyporelfexia

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9
Q

name some inflammatory disease that effect muscle?

A

polymyositis and dermatomyositis

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10
Q

name some inherited conditions which effect muscle?

A

muscle dystrophies

myotonic dystrophies

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11
Q

name a degenerative disease which affects muscle?

A

inclusion body myositis

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12
Q

what happens in rhabdomyolysis?

A

damage to muscle causes leakage of large quantities of toxic intracellular contents into plasma

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13
Q

myalgia
weakness
myoglobinuria

A

rhabdomyolysis

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