Amyotrophy and _'s clinical symptom of differential diagnosis

Amyotrophy and _'s clinical symptom of differential diagnosis
1,Periodic paralysis (periodicparalysis) It is a group of diseases taking skeleton skin relaxing paralysis breaking out repeatedly as characteristic. Get up disease to be relatively worried, take place on early morning or at midnight often, dual side or four limbs collapse from physical exhaustion, bilateral symmetry, the near end is heavy carrying far. Paralysed the skin tension of limb and lowered, tendons reflect and reduce or disappear, muscles are energetic and solid, the electricity can not be stimulated, feel normal, such as skin of diaphragm, intercostal muscle are given much trouble, can cause and have difficulty in breathing, purple and form. If the cardiac muscle is given much trouble, the disorder of rhythm of the heart appears, there can be low potassium to change in the electrocardiogram. While breaking out mostly with the serum potassium content change. Change situation, divide low potassium, high potassium nature and normal blood potassium sexual cycle into, paralyse according to the intersection of blood and potassium, potassium, in order to see at most with the low blood.
2,Myasthenia gravis (myadtheniagravis) It is a kind of nerve - muscle that connect one's own immune disease that transmit the obstacle. The clinical feature is that the whole body or some skeleton skin is extremely easy to be tired, the muscular strength fails after shrinking in a short time, can resume after having a rest. The skin is unable to often post most outside the eyes, regard blepharoptosis of eyes as and see at most, companion's strabismus, it is unable, etc to reply looking at, close the eye. If swallow skin and muscle of mastication, give much trouble, present dejected to chew, swallow difficult. Limb muscles are less likely to be given much trouble, the upper limbs are often prior to the lower extremities, the near end is heavy carrying far. Symptom aggravate after being tired in at dusk, lighten have a rest, morning. The course of disease has relieving and inclination of recuring. It can cause dyspnea, cyanosis, heart rate to accelerate to breathe skin and diaphragm skin and is given much trouble, can go into a coma, so that die, is called myasthenia gravis crisis when being serious. And the intersection of neostigmine and the intersection of medicine and test contribute to, diagnose.
|