Patient is a 5 year old thin male presenting with loss of muscle mass and progressive weakness. Patient has been experiencing, since age 3, frequent falls, muscular pain and stiffness, and difficulty getting up from a lying position. Past medical history Mild asthma Family history: Father and mother are both alive and in a normal state of health. Social History Psychosocial issues Language development delays Communication problems Difficulty making friends Difficulty paying attention Withdrawn Impulsive Anxious and at times fearful. Allergies None Medications Deflazacort 0.9 mg/kg/d Key Labs, images, or procedures performed in relation to current diagnosis. Creatine phosphokinase (CPK): Elevated Transaminase levees: Elevated Lactate dehydrogenase levels: Elevated Aldolase: Elevated Ultrasound: Increased echogenicity in the affected muscles. Electrocardiography (ECG): Tall R waves, deep Q waves, and inverted T waves Key Physical Examination findings: Patient walks on his toes. Positive waddling gait. Patient has large calf muscles. Experiences difficulty standing up from a sitting position. 1. Provide the diagnosis * 2. Provide the etiology for this diagnosis * 3. What is the Incidence and prevalence in United States for this diagnosis * 4. Provide treatment * 5. Provide the prognosis for the diagnosis at hand *
Patient is a 5 year old thin male presenting with loss of muscle mass and progressive weakness. Patient has been experiencing, since age 3, frequent falls, muscular pain and stiffness, and difficulty getting up from a lying position. Past medical history Mild asthma Family history: Father and mother are both alive and in a normal state of health. Social History Psychosocial issues Language development delays Communication problems Difficulty making friends Difficulty paying attention Withdrawn Impulsive Anxious and at times fearful. Allergies None Medications Deflazacort 0.9 mg/kg/d Key Labs, images, or procedures performed in relation to current diagnosis. Creatine phosphokinase (CPK): Elevated Transaminase levees: Elevated Lactate dehydrogenase levels: Elevated Aldolase: Elevated Ultrasound: Increased echogenicity in the affected muscles. Electrocardiography (ECG): Tall R waves, deep Q waves, and inverted T waves Key Physical Examination findings: Patient walks on his toes. Positive waddling gait. Patient has large calf muscles. Experiences difficulty standing up from a sitting position. 1. Provide the diagnosis * 2. Provide the etiology for this diagnosis * 3. What is the Incidence and prevalence in United States for this diagnosis * 4. Provide treatment * 5. Provide the prognosis for the diagnosis at hand *
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Patient is a 5 year old thin male presenting with loss of muscle mass and progressive weakness. Patient has been experiencing, since age 3, frequent falls, muscular pain and stiffness, and difficulty getting up from a lying position.
Past medical history
Mild asthma
Family history:
Father and mother are both alive and in a normal state of health.
Social History
Psychosocial issues
Language development delays
Communication problems
Difficulty making friends
Difficulty paying attention
Withdrawn
Impulsive
Anxious and at times fearful.
Allergies
None
Medications
Deflazacort 0.9 mg/kg/d
Key Labs, images, or procedures performed in relation to current diagnosis.
Creatine phosphokinase (CPK): Elevated
Transaminase levees: Elevated
Lactate dehydrogenase levels: Elevated
Aldolase: Elevated
Ultrasound: Increased echogenicity in the affected muscles.
Electrocardiography (ECG): Tall R waves, deep Q waves, and inverted T waves
Key Physical Examination findings:
Patient walks on his toes.
Positive waddling gait.
Patient has large calf muscles.
Experiences difficulty standing up from a sitting position.
1. Provide the diagnosis *
2. Provide the etiology for this diagnosis *
3. What is the Incidence and prevalence in United States for this diagnosis *
4. Provide treatment *
5. Provide the prognosis for the diagnosis at hand *
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