Sandbox Myopathy: Difference between revisions

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==Differentiating Various Muscle Weakness==
==Differentiating Various Muscle Weakness==
{| class="wikitable"
{| class="wikitable"
! colspan="4" |Medications
! rowspan="3" |
! colspan="7" |Symptoms
! colspan="2" |Physical Examination
! colspan="5" |Diagnosis
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! rowspan="2" |Age of onset
! colspan="2" |Muscle weakness
! rowspan="2" |Fatigue
! rowspan="2" |Myalgia
! rowspan="2" |Cramps
! rowspan="2" |Myoglobinuria
!
! colspan="2" rowspan="2" |
! rowspan="2" |Laboratory Findings
! rowspan="2" |Creatine Kinase
! rowspan="2" |Muscle Biopsy
! rowspan="2" |Electromyogram
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!Proximal
!DIstal
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! colspan="15" |Medications
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|Corticosteroids
|Corticosteroids
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|Statins
|Statins
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|Anti-Thyroid  
|Anti-Thyroid  
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|Chemotherapeutic
|Chemotherapeutic
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|Organophosphate intoxication
|Organophosphate intoxication
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|Alcohol
|Alcohol
|Variable
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! colspan="4" |Endocrine  
! colspan="15" |Endocrine  
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|Adrenal insufficiency
|Adrenal insufficiency
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|Cushing's disease
|Cushing's disease
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|Secondary hyperparathyroidism
|Secondary hyperparathyroidism
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|Hyperthyroidism
|Hyperthyroidism
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|Hypothyroidism
|Hypothyroidism
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! colspan="4" |Inlammatory
! colspan="15" |Inflammatory / Rheumatologic
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|Dermatomyositis
|Dermatomyositis
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|Polymyositis
|Polymyositis
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|Inclusion body myositis
|Inclusion body myositis
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! colspan="4" |Rheumatologic
|Fibomyalgia
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|Cervical spondylosis
|Polymyalgia Rheumatica
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|Degenerative disc disease
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|Spinal cord injury
|Chronic Pain Syndrome
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|Spinal muscle atrophy
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|Fibomyalgia
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|Polymyalgia Rheumatica
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! colspan="4" |Genetic
! colspan="15" |Genetic
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|Becker muscular dystrophy
|Becker muscular dystrophy
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|Limb-girdle muscular dystrophies
|Limb-girdle muscular dystrophies
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|Myotonic dystrophy type 1
|Myotonic dystrophy type 1
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! colspan="4" |Infectious
! colspan="15" |Infectious
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|Lyme disease
|Lyme disease
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|Infulenza
|Infulenza
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|Polio
|Polio
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Line 148: Line 406:
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|Syphilis
|Syphilis
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|HIV
|HIV
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! colspan="4" |Neurologic
! colspan="15" |Neurologic
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|ALS
|ALS
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Line 165: Line 456:
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|Stroke
|Stroke
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|GBS
|GBS
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|Multiple Sclerosis
|Multiple Sclerosis
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! colspan="4" |Neuro-muscular  
! colspan="15" |Neuro-muscular  
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|Botulisim
|Botulisim
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Line 187: Line 522:
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|Lambert-Eaton myaes
|Lambert-Eaton myaes
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|Myasthenia gravis
|Myasthenia gravis
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! colspan="4" |Metabolic
! colspan="15" |Paraneoplastic
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! colspan="15" |Metabolic
|-
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|Glycogen storage disease
|Glycogen storage disease
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Line 204: Line 590:
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|Lipid storage disease
|Lipid storage disease
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Line 209: Line 606:
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|Mitochondrial
|Mitochondrial
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Revision as of 22:21, 22 March 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differentiating Various Muscle Weakness

Symptoms Physical Examination Diagnosis
Age of onset Muscle weakness Fatigue Myalgia Cramps Myoglobinuria Laboratory Findings Creatine Kinase Muscle Biopsy Electromyogram
Proximal DIstal
Medications
Corticosteroids
Statins
Anti-Thyroid
Chemotherapeutic
Organophosphate intoxication
Alcohol Variable +
Endocrine
Adrenal insufficiency
Cushing's disease
Secondary hyperparathyroidism
Hyperthyroidism
Hypothyroidism
Inflammatory / Rheumatologic
Dermatomyositis
Polymyositis
Inclusion body myositis
Fibomyalgia
Polymyalgia Rheumatica
Chronic Pain Syndrome
Genetic
Becker muscular dystrophy
Limb-girdle muscular dystrophies
Myotonic dystrophy type 1
Infectious
Lyme disease
Infulenza
Polio
Syphilis
HIV
Neurologic
ALS
Stroke
GBS
Multiple Sclerosis
Neuro-muscular
Botulisim
Lambert-Eaton myaes
Myasthenia gravis
Paraneoplastic
Metabolic
Glycogen storage disease
Lipid storage disease
Mitochondrial