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Postgraduate Medical Journal 2003;79:418
© 2003 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

Neurology

A bed bound patient

G G Hanna , G V McDonnell

Royal Victoria Hospital, Belfast

Correspondence to:
Correspondence to:
Dr Gavin V McDonnell, Department of Neurology, Ward 4E, Royal Victoria Hospital, Belfast, Co Antrim, Northern Ireland BT12 6BA, UK;
hanna@doctors.org.uk

Submitted 12 July 2002
Accepted 27 August 2002


Answers on p 421.

Keywords: polymyositis; dermatomyositis; myopathy

The first 150 words of the full text of this article appear below.

A 62 year old retired woman was admitted to hospital with a 10 month history of pain and weakness in the muscles of both arms and legs. Her problems began with episodic weakness in both legs such that on occasions her legs gave way and she fell to the ground. She had a gradual deterioration in her muscle strength and after a fall five months before admission she became confined to bed.

Over the month before hospital admission her weakness had progressed to the extent that she was unable to lift her head off a pillow. She had also developed pain in the muscles of the arms and legs. Of note, she had no sensory, visual, speech, or swallowing disturbance. Relevant past history included epilepsy since the age of 43, hypertension, hypercholesterolaemia, and diet controlled type II diabetes mellitus.

Drug therapy was as follows: folic acid 5 mg once . . . [Full text of this article]


Relevant Article

A bed bound patient
Postgrad. Med. J. 2003 79: 421-423. [Extract] [Full Text] [PDF]



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