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The Case of the Man Who Began Tripping on the Carpet

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by

David Kulhavy

on 6 November 2014

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Transcript of The Case of the Man Who Began Tripping on the Carpet

The Case of the Man Who Began Tripping on the Carpet
Name: Dale Peterson
Age: 45
Occupation: Grade School Teacher
Background Info
Complaints
1.)Began tripping on the carpet while walking
2.)Occasional blurred vision and problems swallowing
His wife noticed he had droopy eye lids
Physicians Findings
Muscle strength not bilaterally symmetrical
Muscle strength was overall weaker than others of the same age
Small dose of tensolin made the problems go away (after an hour they returned once the tensolin wore off)
Lab Results
The laboratory test revealed the presence of antibodies working against acetylcholine receptors.
Acetylcholine functions in both the PNS and CNS primarily to activate muscles.
Possible Diseases
Lambert-Eaton Syndrome
Multiple Sclerosis
Muscular Dystrophies
Systemic Lupus Erythematosus
Myasthenia Gravis
Treatments for Myasthenia Gravis
Medications
Cholinesterase inhibitors
Corticosteroids
Immunosuppressants
Therapy
Plasmapheresis
Prognosis
With treatment, most individuals with myasthenia can significantly improve their muscle weakness and lead normal or nearly normal lives
Myasthenia Gravis causes muscle weakness that becomes significantly worse with activity. Double vision, swallowing and speaking abnormalities, difficulty walking and using the arms are common symptoms
Why is it MG?
-Also damages acetylchloine receptors
http://www.myasthenia.org/
http://en.wikipedia.org/wiki/Myasthenia_gravis
http://www.webmd.com/brain/understanding-myasthenia-gravis-treatment
http://www.mayoclinic.org/diseases-conditions/myasthenia-gravis/basics/definition/con-20027124
Works Cited
Full transcript