A Case of Hypothyroid Myopathy

•Als PPT, PDF herunterladen•

18 gefällt mir•3,106 views

Stanley Medical College, Department of Medicine

A 45-year-old female presented with gradually progressive proximal muscle weakness over 6 months. On examination, she had facial puffiness, macroglossia, hyporeflexia, and delayed ankle jerk relaxation. Investigations revealed hypothyroidism with a high TSH and low T3 and T4. An EMG showed a myopathic pattern. She was diagnosed with hypothyroid myopathy and started on levothyroxine treatment.

Gesundheit & Medizin

DR. PRIYA KUBENDIRAN M 1 UNIT PROF. DR. MAGESH KUMAR CASE PRESENTATION

A 45 year old female was admitted on 08.11.10 with ,[object Object],[object Object],[object Object]

H/O PRESENT ILLNESS : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SUMMARIZING…. ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GPE : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SYSTEMIC EXAMINATION : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CNS ,[object Object],[object Object],[object Object],RIGHT LEFT BULK UPPER LIMB AE 20 cm 20 cm BE 19 cm 18.5 cm LOWER LIMB AK 35 cm 35 cm BK 28 cm 27 cm TONE UPPER LIMB normal normal LOWER LIMB normal normal

POWER RIGHT LEFT Neck 2 UL Shoulder Flexors 3 3 Extensors 3 3 Abduction 3 3 Adduction 3 3 Elbow 4- 4- Wrist 5 5 Hand grip 100% 100% LL Hip Abduction 2 2 Adduction 2 2 Flexion 2 2 Extension 2 2

REFLEXES RIGHT LEFT LL Knee 3 3 Ankle 5 5 EHL 5 5 RIGHT LEFT SUPERFICIAL Corneal + + Conjuctival + + Abdominal - - Plantar flexor flexor DEEP Biceps + + Triceps + + Supinator + + Knee + + Ankle + delayed relaxation + delayed relaxation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],normal

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IMPRESSION : ,[object Object],[object Object],[object Object],[object Object],[object Object]

INVESTIGATIONS : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],S. Electrolytes : Na – 134 meq/L K - 4.4 Cl – 86 Hco3 – 21

Neurological consult : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],? HYPOTHYROID MYOPATHY

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EMG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FINAL DIAGNOSIS ,[object Object],[object Object],[object Object]

MANAGEMENT ,[object Object],[object Object],[object Object],As suggested by endocrinologist

PATHOPHYSIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PSEUDOMYOTONIC REFLEX ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

MANAGEMENT ,[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

acute inflammatory demyelinating polyneuropathyNeurologyKota

Plantar reflexTONY SCARIA

Golden book for Medicine OSCE: First ViewMan B Paudyal

CYSTIC FIBROSISAmeen Rageh

Case presentation neurologyDr. Armaan Singh

NON RESOLVING PNEUMONIASURABHI SUSHMA REDDY

Approach to history taking in a patient with feverReina Ramesh

Cns scenarios(medicine)Verdah Sabih

Rodenticide Poisoning + Rat Killer paste poisoning managementVasif Mayan

Medical Mnemonics by sourabh koseysopi_1234

Approach to cholestatic jaundiceRam Raut

Alpha antitrypsin deficiencyjeevan kishore

LeprosyPratik Kumar

SLE Case PresentationVishwa Jayasinghe

IriSRajesh Mandal

CNS examinationWalaa Manaa

Ataxia, spinocerebellar ataxia, CNS case presentation by PG.Kurian Joseph

Signs and Symptoms of Liver DiseasesAnith Venu

Antitubercular agents in TB patients with Chronic Liver disease (CLD)Pratap Tiwari

03.06.09: Spontaneous HypoglycemiaOpen.Michigan

Was ist angesagt? (20)

acute inflammatory demyelinating polyneuropathy

Plantar reflex

Golden book for Medicine OSCE: First View

CYSTIC FIBROSIS

Case presentation neurology

NON RESOLVING PNEUMONIA

Approach to history taking in a patient with fever

Cns scenarios(medicine)

Rodenticide Poisoning + Rat Killer paste poisoning management

Medical Mnemonics by sourabh kosey

Approach to cholestatic jaundice

Alpha antitrypsin deficiency

Leprosy

SLE Case Presentation

IriS

CNS examination

Ataxia, spinocerebellar ataxia, CNS case presentation by PG.

Signs and Symptoms of Liver Diseases

Antitubercular agents in TB patients with Chronic Liver disease (CLD)

03.06.09: Spontaneous Hypoglycemia

Ähnlich wie A Case of Hypothyroid Myopathy

A Case of DermatomyositisStanley Medical College, Department of Medicine

a case presentation of polymyositisIstikhar Ali Sajjad

PLHA with ParaplegiaStanley Medical College, Department of Medicine

A Case of HemichoreaStanley Medical College, Department of Medicine

Gullian Barrie SyndromeRamesh Babu

Unusual Presentation of Takayasu ArteritisStanley Medical College, Department of Medicine

Elderly male with Flaccid paraparesis diagnosed as Cauda Equina Syndrome due ...Dr. Md. Rashedul Islam

A Case of Bartter's SyndromeStanley Medical College, Department of Medicine

Approach to the_patient_with_myopathyMohit Aggarwal

Somatosensory seizuresAnkit Raiyani

Spinal and-spinal-cord284cute_girl89

A Case of Peripheral NeuropathyStanley Medical College, Department of Medicine

Dr qurban hussainQurban Hussain

Return of the troubleAakash Tadimalla

A Case of TB meningitis with Pituitary TBStanley Medical College, Department of Medicine

Dermatomyositis sunilthomasgeorge217

MND assessment and managementbukin

Op poisoning and its managementMithun Prakash

A Case of Schmidt Syndrome Stanley Medical College, Department of Medicine

Central and Peripheral Nerve Lesions - Neel Golwalabcooper876

Ähnlich wie A Case of Hypothyroid Myopathy (20)

A Case of Dermatomyositis

a case presentation of polymyositis

PLHA with Paraplegia

A Case of Hemichorea

Gullian Barrie Syndrome

Unusual Presentation of Takayasu Arteritis

Elderly male with Flaccid paraparesis diagnosed as Cauda Equina Syndrome due ...

A Case of Bartter's Syndrome

Approach to the_patient_with_myopathy

Somatosensory seizures

Spinal and-spinal-cord284

A Case of Peripheral Neuropathy

Dr qurban hussain

Return of the trouble

A Case of TB meningitis with Pituitary TB

Dermatomyositis

MND assessment and management

Op poisoning and its management

A Case of Schmidt Syndrome

Central and Peripheral Nerve Lesions - Neel Golwala

Mehr von Stanley Medical College, Department of Medicine

Interpretation of Liver Function TestsStanley Medical College, Department of Medicine

A Case of Sheehan's SyndromeStanley Medical College, Department of Medicine

Imaging: Cortical Vein ThrombosisStanley Medical College, Department of Medicine

ECG: Findings in CNS disordersStanley Medical College, Department of Medicine

A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVDStanley Medical College, Department of Medicine

A Case of NASH with HYPOTHYROIDISMStanley Medical College, Department of Medicine

IMAGING: NEUROCYSTICERCOSISStanley Medical College, Department of Medicine

ECG: Digitalis Effect / MAT / AFStanley Medical College, Department of Medicine

Imaging: BOOPStanley Medical College, Department of Medicine

ECG: HypokalemiaStanley Medical College, Department of Medicine

A Case of Idiopathic Pulmonary HypertensionStanley Medical College, Department of Medicine

A Case of Rodenticide PoisoningStanley Medical College, Department of Medicine

A Case of Emphysematous Pylonephritis Stanley Medical College, Department of Medicine

Imaging: Multiple Pulmonary Cavitary LesionsStanley Medical College, Department of Medicine

ECG: Atrial DissociationStanley Medical College, Department of Medicine

A Case of Hepato-Pulmonary SyndromeStanley Medical College, Department of Medicine

A Case of ThalassemiaStanley Medical College, Department of Medicine

A Case of Renal AmyloidosisStanley Medical College, Department of Medicine

CXR: Silico-TuberculosisStanley Medical College, Department of Medicine

ECG: A Case of Flutter-FibrillationStanley Medical College, Department of Medicine

Mehr von Stanley Medical College, Department of Medicine (20)

Interpretation of Liver Function Tests

A Case of Sheehan's Syndrome

Imaging: Cortical Vein Thrombosis

ECG: Findings in CNS disorders

A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD

A Case of NASH with HYPOTHYROIDISM

IMAGING: NEUROCYSTICERCOSIS

ECG: Digitalis Effect / MAT / AF

Imaging: BOOP

ECG: Hypokalemia

A Case of Idiopathic Pulmonary Hypertension

A Case of Rodenticide Poisoning

A Case of Emphysematous Pylonephritis

Imaging: Multiple Pulmonary Cavitary Lesions

ECG: Atrial Dissociation

A Case of Hepato-Pulmonary Syndrome

A Case of Thalassemia

A Case of Renal Amyloidosis

CXR: Silico-Tuberculosis

ECG: A Case of Flutter-Fibrillation

Kürzlich hochgeladen

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora

Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1

Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi

Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...parulsinha

9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls ServiceGENUINE ESCORT AGENCY

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableJanvi Singh

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...chennailover

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...GENUINE ESCORT AGENCY

Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora

Kürzlich hochgeladen (20)

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...

Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...

Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...

Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...

Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...

9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...

Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available