Difference between revisions of "Neuromuscular pathology"

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→‎Fibre types: Morphology, ATPase
(→‎Work-up: biopsy)
(→‎Fibre types: Morphology, ATPase)
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**Nerve (surrounded by ''epineurium'') -> Fascicle (surrounded by ''perineurium'') -> Nerve fibre (surrounded by ''endoneurium'').
**Nerve (surrounded by ''epineurium'') -> Fascicle (surrounded by ''perineurium'') -> Nerve fibre (surrounded by ''endoneurium'').


===Fibre types===
===Fibre===
[[File:1022 Muscle Fibers (small).jpg|500px|right]]
====Fibre morphology====
*Small or large?
**Related to age?  Birth 15µm, 6yrs: 25-30µm, 12yrs: 45µm, adult: 50-60µm.
*Round or angular?
*Architecture: Normal, inclusions, nuclear internalization?
*Pathology distribution: Absent, focal, uniform?
**Pathologic material: Amyloid, Glycogen, Lipid?
====Fibre types====
{{familytree/start}}
{{familytree/start}}
{{familytree | | | |A11| | | | |A11 =Types          }}
{{familytree | | | |A11| | | | |A11 =Types          }}
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{{familytree/end}}
{{familytree/end}}


====List - fibre types====
Type 1 - [[AKA]] slow twitch:
Type 1 - [[AKA]] slow twitch:
*Predominantly oxidative metabolism, i.e. have lots of mitochondria.
*Predominantly oxidative metabolism, i.e. have lots of mitochondria.
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| higher
| higher
| lower
| lower
|-
| ATPase pH 9.4 stain
| light brown
| dark brown
|}
|}
</center>
</center>
*Check for fibre type grouping or fibre type predominance.


===Normal findings===
===Normal findings===
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