Weak

Musculoskeletal System


Step 1: View Clinicals

{"ops":[{"insert":"A 62 year old lady is brought in after falling down and finding herself unable to get back up. She had experienced insidious, progressive upper and lower limb weakness for the last month but was otherwise asymptomatic.\n\nShe was diagnosed with stage 3 vulval cancer 10 years ago, which was treated by a radical vulvectomy with bilateral groin node dissection and chemo-irradiation, with no recurrence since.\n\nHer FBC, urinalysis, electrolytes and renal functions are normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-007_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Creatinine phosphokinase
2. NCS, EMG & muscle biopsy

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