muscle and the neuromuscular junction Flashcards
what would this indicate>
weakness
low tone
fasciculations?
lower motor neurone problem
most common disorder of neuromuscular junction?
myasthenia gravis
autoimmune antibodies to acetyl choline receptors
myasthenia gravis
clinical features of myasthenia gravis?
fluctuating weakness- worse through day
extraocular weakness, facial and bulbar weakness
limb weakness- typically proximal
how do you treat myasthenia gravis?
pyridostimine ( acetly chlonesterase inhibitor)
thymectomy
immunomodulating
steroids
what are fasciculations?
visible fast fine spontaneous twitch
can occur in healthy muscle die to anxiety, caffeine, or stress or fatigue
occurs in denervated msucle which become hyperexcitable
what is myotonia?
failure of muscle relaxation after use
main symptoms of muscle disease?
myalgia
muscle weakness
wasting
hyporelfexia
name some inflammatory disease that effect muscle?
polymyositis and dermatomyositis
name some inherited conditions which effect muscle?
muscle dystrophies
myotonic dystrophies
name a degenerative disease which affects muscle?
inclusion body myositis
what happens in rhabdomyolysis?
damage to muscle causes leakage of large quantities of toxic intracellular contents into plasma
myalgia
weakness
myoglobinuria
rhabdomyolysis