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10 Second Case Studies. Round 2: Degenerative Neurological Conditions. PATIENT 1. 55 years old male Lateralized left-side muscle weakness Dysphagia (difficulty swallowing) Progressive difficulties with breathing No familial history of similar symptoms Your diagnosis?
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10 Second Case Studies Round 2: Degenerative Neurological Conditions
PATIENT 1 • 55 years old male • Lateralized left-side muscle weakness • Dysphagia (difficulty swallowing) • Progressive difficulties with breathing • No familial history of similar symptoms • Your diagnosis? • A) ALS (amyotrophic lateral sclerosis) • B) MD (muscular dystrophy) • C) MS (multiple sclerosis) • D) PD (Parkinson’s disease)
Patient 2 • 65 year old female • Anosmia • Rigidity localized to left foot • Pronounced resting tremor • No familial history of similar symptoms • Your diagnosis? • A) ALS (amyotrophic lateral sclerosis) • B) MD (muscular dystrophy) • C) MS (multiple sclerosis) • D) PD (Parkinson’s disease)
Patient 3 • 2 year old male • Profound deafness • Progressive loss of reflex response and muscle tone • Red spot in macula • Familial history of similar symptoms • Your diagnosis? • A) ALS (amyotrophic lateral sclerosis) • B) MD (muscular dystrophy) • C) Tay-Sach’s Disease • D) PD (Parkinson’s disease)
Patient 4 • 30 year old female • Currently experiencing parathesia (numbness in extremities) • Previous parathesic episodes with intervening remission of symptoms at age 22 • Dysarthria (difficulty articulating speech) with similar remission of symptoms at age 25 • No familial history of similar symptoms • Your diagnosis? • A) Tay-Sachs Disease • B) MD (muscular dystrophy) • C) MS (multiple sclerosis) • D) PD (Parkinson’s disease)
Patient 5 • 15 year old male • Obese • Experiencing joint and calf muscle pain • EKG and MRI show evidence of cardiomyopathy • Familial symptoms in male relatives • Your diagnosis? • A) ALS (amyotrophic lateral sclerosis) • B) MD (muscular dystrophy) • C) MS (multiple sclerosis) • D) PD (Parkinson’s disease)