1/8 #Morningreport recently @SinaiBmoreIMRes
by @FALaghiMD recently featured an elderly pt with worsening bilateral pedal edema since past 3 weeks with worsening weakness
#DDx ?
#MedTwitter #MedStudentTwitter #FOAMed
by @FALaghiMD recently featured an elderly pt with worsening bilateral pedal edema since past 3 weeks with worsening weakness
#DDx ?
#MedTwitter #MedStudentTwitter #FOAMed
2/8
ROS ++generalized weakness
Meds: Atorvastatin 40 mg qday
EXAM:
Ext: B/l LL pitting edema present +2
ROS ++generalized weakness
Meds: Atorvastatin 40 mg qday
EXAM:
Ext: B/l LL pitting edema present +2
3/8
Labs: + AST UA + RBC CPK ⬆️⬆️
Strength was decreasing during hospital stay and
PX > Distal muscles weak.
Neuro exam- normal
CPK ⬆️⬆️ raised a suspicion for inflammatory myositis.
Anti-HMGCR Ab was sent and pending.
Labs: + AST UA + RBC CPK ⬆️⬆️
Strength was decreasing during hospital stay and
PX > Distal muscles weak.
Neuro exam- normal
CPK ⬆️⬆️ raised a suspicion for inflammatory myositis.
Anti-HMGCR Ab was sent and pending.
4/8
Teaching points:
Teaching points:
5/8
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6/8
Teaching poiints:
Teaching poiints:
7/8
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8/8
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That's all !!!!!
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