A 51-year-old man came with a 4-day history of general malaise, cough, fever, and muscle aches. He had no previous similar episodes. The patient’s parents were first-degree cousins. He required…
A 64-year-old woman was referred because of a 5-year history of difficulty getting up from a chair, going up and down stairs, and muscle tightness with pain particularly in the…
A 70-year-old male with hypertension, hyperlipidemia with a past medical history of chronic migraine, chronic lower back pain and coronary artery disease, and S/P triple bypass was referred for progressive…
A 40-year-old Black woman presented with progressive droopy eyelids and blurred vision for the past 15 years. Her symptoms improved somewhat periodically, but during the past year, she developed intermittent…
An 18-year-old woman presented with acute renal failure. She had been at a church youth function at which the activities required running. She subsequently suffered exhaustion and muscle cramps. Later…
A 47-year-old man presented with a 15-year history of progressive proximal muscle weakness in the arms and legs. He also noted thinning of muscle and voluminous swelling of the back…
This patient was initially evaluated elsewhere when he presented as a “floppy baby.” He was born at term of a 26-year-old primigravida; he was a 9-lb product of a 41-week…
A 22-year-old man with a strong family history of muscular dystrophy (his father and one brother) complained of difficulty raising his arms. He denied weakness in the legs. On examination,…
A 43-year-old woman had had progressive leg weakness for 6 years, but she stated that she had been mildly weak since childhood when she had several falls. She had always…
