In brief

Question 1

Proximal myopathy

Answer 1

Thing about giant cell arteritis

when patients have proximal myopathy they will complain of non ability of doing certain tasks

If upper limbs affected they wont be able to do washing or comb hair

if lower limbs affected they wont be able to stand up from a seated position or will have trouble going up and down the stairs.

Question 2

Multiple sclerosis

Answer 2

Demyelination occur at multiple CNS sites from T cell mediated immune response

Usually monosymptomatic:

unilarteral optic neuritis (pain on eye on movement and rapid reduce in central vision)

numbness or tingling in the limbs

leg weakness

diploplia, ataxia

symptoms worse with heat (hot bath)

early diagnosis and treatment reduce relapse and disability

treatment: encourage happy stress free life

streoids