What inspections should atrophy of muscle be done? Medicine for treatment of
First, medical history
Should notice age, have illness coming on position, get up the intersection of disease and speed, the intersection of course of disease and size,etc. as to the intersection of muscle and atrophy; Acute to have illness coming on, chronic to have illness coming on, develop gradually, or develop rapidly. Whether feel the obstacle, urine obstacle, is it limitation or whole body to shrink. How it will be muscular strength, the intersection of muscle and unable and relation, muscle of atrophy, muscle beating for and pain, aggravate or lighten after the activity. Should pay attention to having companions to send whole body disease such as malignant tumour, connective tissue disease in history previously. Consuming disease, diabetes, uremia, traumatism, drinking, intervertebral disc deviating from, myelitis, looking at neuritis, the medicine employs history and poisoning in the history,etc.. Special hereditary family's medical history,etc.. Pay attention to infecting history and immunization campaign history.
Second, physical examination
1,Pay attention to muscle volume and appearance
The diagnosis of atrophy of muscle is in conformity with both sides contrast on clinic, namely the range of muscle atrophy is distributed, the comparison of intensity, bilateral symmetry position, observe skin bunch and quiver.
2,Muscular strength and skin tension
There is low atrophy of muscle with the muscular strength, so should notice the skin volume comparing with muscular strength, pay attention to the muscular strength of the position of atrophy of muscle, skin tension. Should go on under warm environment and comfortable body posture at the time of the inspection. Should let the patient try hard to relax. Can judge by hardness of touching muscle and resistance perceived while stretching patient Qu's limbs passively. When the skin tension is lowered, of flaccid muscles, resistance lowers or disappears at the time of the passive movement, the movement range of the joint is expanded. It is myopathic like using atrophy of muscle of waste to see more and make sport neuronal pathological change, some.
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