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    A 67-year-old retired university lecturer presented with weakness and wasting in his left hand muscles that worsened with exertion, forearm muscle cramps, slurred speech, and choking after drinking fluids. His examination and medical history were otherwise normal except for a history of hypertension and heart attack. A diagnosis was made but not stated in the case notes.

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    A 67-year-old retired university lecturer presented with weakness and wasting in his left hand muscles that worsened with exertion, forearm muscle cramps, slurred speech, and choking after drinking fluids. His examination and medical history were otherwise normal except for a history of hypertension and heart attack. A diagnosis was made but not stated in the case notes.

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    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
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    17 vizualizări1 pagină

    Asdf

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    A 67-year-old retired university lecturer presented with weakness and wasting in his left hand muscles that worsened with exertion, forearm muscle cramps, slurred speech, and choking after drinking fluids. His examination and medical history were otherwise normal except for a history of hypertension and heart attack. A diagnosis was made but not stated in the case notes.

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    © All Rights Reserved
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    din 1

    CASE NOTES

    FAMILY NAME: FIRST NAME(S):

    AGE: 67 SEX: M MARITAL STATUS: M

    OCCUPATION: retired university lecturer

    PRESENT COMPLAINT:
    Weakness and wasting of the muscles of his L hand,
    worse after exertion. Cramps in his forearm muscles.
    Slurred speech. Choking after taking fluids.

    EXAMINATION:

    General condition:

    ENT

    RS NAD

    CVS NAD BP 146/88

    GIS NAD

    GUS

    CNS

    IMMEDIATE PAST HISTORY:


    HT for 15 years
    MI 3 years ago
    Medication: simvastatin, aspirin and atenolol
    POINTS OF NOTE:
    Non-smoker

    INVESTIGATIONS:

    DIAGNOSIS:

    MANAGEMENT:

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