Asymmetrical Lower Extremity Muscle Wasting In An Adult

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Asymmetrical Lower Extremity Muscle Wasting In An Adult - Page #3

Lab Studies: - Total CK: 16322 Other Studies: - Muscle Biopsy (1995): Rare regenerating fibers are identified, However, no definitive etiology can be determined. - EMG Left Lower Extremity: Left Lumbosacral Polyradiculopathy. - EMG Left Upper Extremity: Left C7 Cervical Radiculopathy - XR Lumbar Spine: unremarkable - MRI Cervical Spine: multiple disc bulge with severe C6-7 left foraminal stenosis. Moderate degenerative disc disease. - MRI Thoracic Spine: small right broad based right paracentral disc protusion with annular tear at T6-7. - XR Left Ankle: Negative - XR Left Shoulder: No acute osteoarticular abnormality Consultations: UF Neurology - differential including miyoshi myopathy recommending genetic testing. Genetic testing positive for homozygous ANO5 mutation consistent with Miyoshi myopathy type 3. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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