Shoulder Girdle Weakness In 35 Year Old Male

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Shoulder Girdle Weakness In 35 Year Old Male - Page #3

Lab Studies: Labs were significant for elevated creatine phosphokinase (CPK) of 611 U/L and A1C of 11.8%. Right shoulder radiographs were consistent with normal right shoulder exam. <br> <a href="CaseStudyImages/CS2CS1ShoulderGirdle-464.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br>Right shoulder MRI revealed significant atrophy of latissimus dorsi, teres major, and pectoralis major muscles. <br> <a href="CaseStudyImages/CS3CS2CS1ShoulderGir-464.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br> Given the concern for a common origin of innervation of the involved musculature, a brachial plexus MRI was obtained showing findings inconsistent with brachial plexopathy. <br> <a href="CaseStudyImages/CS4CS3CS2CS1Shoulder-464.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <br>Subsequent electrodiagnostic studies were equivocal. <br> <a href="CaseStudyImages/CS5CS4CS3CS2CS1Shoul-464.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <br>On genetic testing, FSHD DNA molecular combing yielded an abnormal result consistent with contraction of the D4Z4 repeat array. <br> <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-464.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> Other Studies: None Consultations: - 03Jun2014: New family medicine patient evaluation <br>- 08Jul2014: MRI study <br>- 07Oct2014: EMG/NCS <br>- 23Jul2015: Neurology clinic visit, genetic testing <br>- 14Dec2015: Neuromuscular clinic visit <br>- 03Aug2016: Fetal Care and Genetics Center <br> <a href="CaseStudyImages/CS8CS7CS6CS5CS4CS3CS-464.jpg" title="Case Photo #8" data-lity><b>Case Photo #8</b></a> Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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