© 2003 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Neurology
A bed bound patient
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
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
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A bed bound patient
Postgrad. Med. J. 2003 79: 421-423.[Extract] [Full Text] [PDF]
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