Flashcards in Muscle Disease Deck (22):
What is muscle pain?
How might a muscle disease present itself?
Abnormal blood tests
What are clinical features of Idiopathic Inflammatory Myopathies?
symmetrical, proximal muscles
sturggle with tasts e.g.difficulty brushing hair
What are indications of Dermatomyositis ?
What other organs are involved with Dermatomyositis?
Name two tests that can be done, and what are they?
1. Confrontational testing - direct testing of power
2. Isotonic testing - 30 second sit to stand test
What drugs can be used to treat Dermatomyositis
What can Inclusion body myositis be misdiagnosed as?
Who's more likely to get Inclusion body myositis ?
What drug can cause muscle pain?
What is the clinical appearance of Inclusion body myositis ?
More insidious onset
Distal muscle weakeness
Weakness in wrist, finger flexors in upper limbs and quads an anterior tibial muscles in legs
What does a muscle biopsy of Inclusion body myositis show?
Who is more likely to suffer from Polymyalgia Rheumatica?
What are the clinical features of Polymyalgia Rheumatica?
Shoulder and hip girdle pain
fatigue, anorexia, weight loss, and fever
reduced shoulder, neck and hip movement
Muscle strength is NORMAL
What is another name for Temporal Arthritis?
Giant cell arhtritis
What occurs with Temporal Arthritis ?
Visual loss (amaurosis fugax)
Tender, enlarged and non-pulsatile temporal arteries
What investigation results are found with temporal arthritis?
What is the treatment for temporal arthritis?
Rapid/dramatic response to low dose steroids
Reduce steroid dose over 18months - 24 months
When may someone suffer from Fibromyalgia?
22-50 years old, after emotional or physical trauma
What are the clinical features of fibromyalgia?
pain in neck, shoulders, lower back, and chest wall
Worse on exertion, fatigue and stress
sensation of swelling
Pins/needles, headaches, abdo pain (IBS), depression, poor concentration, memory
What are the treatments of fibromyalgia?
Physical and mental therapy,
Gabapentin and pregabalin