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Difference between revisions of "Neuromuscular pathology"
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Neuromuscular pathology (view source)
Revision as of 19:47, 27 October 2010
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==Work-up== | ==Work-up== | ||
===General=== | |||
#Clinical history, including family history. | #Clinical history, including family history. | ||
#Laboratory studies, e.g. CK. | #Laboratory studies, e.g. CK. | ||
#Nerve conduction and electromyography studies. | #Nerve conduction and electromyography studies. | ||
#Muscle biopsy. | #Muscle biopsy. | ||
===Laboratory studies=== | |||
The CK suggest the type of disorder:<ref>URL: [http://moon.ouhsc.edu/kfung/jty1/NeuroHelp/ZNEWWU10.htm http://moon.ouhsc.edu/kfung/jty1/NeuroHelp/ZNEWWU10.htm]. Accessed on: 27 October 2010.</ref> | |||
*High ~200-300X normal -- suggests ''myogenic''. | |||
*Intermedidate ~20-30X normal -- possibly ''inflammatory''. | |||
*Low ~2-5X normal -- possibly ''neurogenic''. | |||
Notes: | |||
*The CK value is most useful when it is very high.<ref name=pmid17224570>{{cite journal |author=Filosto M, Tonin P, Vattemi G, ''et al.'' |title=The role of muscle biopsy in investigating isolated muscle pain |journal=Neurology |volume=68 |issue=3 |pages=181–6 |year=2007 |month=January |pmid=17224570 |doi=10.1212/01.wnl.0000252252.29532.cc |url=}}</ref> | |||
==Patterns== | ==Patterns== | ||