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Myalgia, or muscle pain, is an extremely common complaint. Determine whether the pain is temporally related to trauma, exercise, associated illness, and/or medications.
Differential Diagnosis
... Workup and Diagnosis ... Treatment
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Distal weakness is most likely secondary to neuropathy, and is often associated with loss of deep tendon reflexes (DTRs) either with or without sensory abnormalities. In contrast, increased DTRs or extensor plantor responses raise the concern for &... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Proximal weakness is usually due to dysfunction of the lower motor unit; that is, anterior horn cells in the spinal cord, neuromuscular junction (NMJ), or the muscle itself. The neurologic examination, EMG, and nerve conduction studies, and finally the muscle... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and within the muscle... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Acute or Subacute*
Electrolyte abnormality
Hyperkalemia
Hypokalemia
Hypercalcemia
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... Fibrositis
Connective tissue disease
Polymyalgia rheumatica
Rheumatoid arthritis
Polymyositis,
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and within the... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Muscle weakness is detected by observing and measuring the strength of an individual muscle or muscle group. It can result from a malfunction in the cerebral hemispheres, brain stem, spinal cord, nerve roots, peripheral nerves, or myoneural junctions and within the muscle... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »