study_ing
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whats the best initial test?
whats the most accurate one?
whats the initial curative treatment?
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| study_ing
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Tensilon is NOT the best initial one.
anticholineesterase antibodies is NOT the most accurate
neostigmine is not the answer here.
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| sunny2
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Initial test - Acetylcholine receptor antibody
Accurate test- Electromyography shows a decremental decrease in muscle fibre contraction on repetitive nerve stimulation.
Initial treatment - Steroids --- if no effect Steroids + Azothiopurine
in myasthenic crisis - Plasmaphoresis and intravenous Ig
Thymectomy - in postpubertal and those less then 55 with generalized myasthenia before immunosuppresive therapy
Pyridostigmine for symptomatic treatment
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| study_ing
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brilliant ..u certainly contributed more than i knew
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| study_ing
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all i knew was...
anti ach rc ab gives less false positives. tensilon may be positive eg in ALS
EMG-->decremental on repetitive stimulation
neostigmine and pyrido are SYMPTOMATIC. steroids and azathioprine are curative. of these steroids have an onset of axn within approx a month.
in myasthenic crisis - Plasmaphoresis and intravenous Ig
the latter is supposed to be easier to arrange but both are equal in efficacy. the cant ask u to choose between them.
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