Duchenne_Muscular_Dystrophy_flashcards (1)
What is the role of physiotherapy in Duchenne Muscular Dystrophy?
Physiotherapy helps prevent contractures.
Why are exercise and psychological support necessary in Duchenne Muscular Dystrophy?
Exercise and psychological support are necessary to maintain physical function and mental well-being.
What surgical procedures may be required for Duchenne Muscular Dystrophy patients?
Tendoachilles lengthening and scoliosis surgery may be required.
How do glucocorticoids like prednisolone help in Duchenne Muscular Dystrophy?
Glucocorticoids like prednisolone may help delay wheelchair dependence.
What is Ataluren and what is its significance in Duchenne Muscular Dystrophy treatment?
Ataluren is a drug that restores dystrophin synthesis and has conditional licensing for patients 5 years and over.
Why might a dietician be involved in the care of a Duchenne Muscular Dystrophy patient?
A dietician may be involved for gastric feeding, and to provide vitamin D and calcium supplementation to prevent and treat bone fragility.
What is a potential consequence of intercostal muscle weakness in Duchenne Muscular Dystrophy?
Weakness of intercostal muscles may lead to nocturnal hypoxia.
How can nocturnal hypoxia present in Duchenne Muscular Dystrophy patients?
Nocturnal hypoxia may present with daytime headache, irritability, and loss of appetite.
What respiratory support might be needed for Duchenne Muscular Dystrophy patients?
Overnight CPAP may be indicated for respiratory support.
What cardioprotective measures might be considered for Duchenne Muscular Dystrophy patients?
If the left ventricular ejection fraction drops, cardioprotective drugs (e.g., carvedilol) and left ventricular assist devices may be considered.