new_n_lost
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A 45-year-old man has a history of progressive weakness for 5 weeks. He had particular difficulty getting out of the bath. On examination there was severe truncal and proximal limb weakness, without wasting or fasciculation. Tendon reflexes, plantar and sensation were all normal. The vital capacity was 1.8L.
What is the most likely diagnosis?
1) Cervical myelitis
2) Guillain-Barre syndrome
3) Polio
4) Polymyositis
5) Syringiobulbia
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| keepgoing
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| new_n_lost
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| new_n_lost
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The presentation of myopathy is characterized by proximal weakness with normal reflexes and sensation and the absence of fasciculations. Polymyositis is the commonest cause of inflammatory muscle disease in < 50 years old (inclusion body myositis is the commonest in >50 years old)
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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