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Runvet Runvet
wrote...
Posts: 5
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11 years ago
Having an issue with this case study, I am contemplating miller fisher syndrome but no luck

A 36 year old man is seeing his physician because he is becoming increasingly weak. He reports that the weakness progresses throughout the day. He has a desk job and can hardly keep his eyes open and head up by the end of the day. Other history is unremarkable. Cranial nerve examination shows weak facial muscles, inability to repeat movements, and bilateral ptosis. The patient’s shoulders droop with a very poor posture.
   
1.  What is the likely diagnosis?   
2.  What is the pathogenesis of this disease?
3.  What other deficits might present if untreated?
4.  Why do the symptoms seem to worsen later in the day?
5.  What other conditions should be ruled out?
6.  What treatment should be sought?
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4 Replies
Replies
wrote...
Donated
Valued Member
11 years ago
I am thinking Myasthenia gravis....
Volunteers are seldom paid; not because they are worthless, but because they are PRICELESS!
Runvet Author
wrote...
11 years ago
any other ideas?
wrote...
Valued Member
11 years ago
I'm guessing: Ocular myasthenia
Answer accepted by topic starter
agelesspersonagelessperson
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Posts: 83
9 years ago
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This verified answer contains over 170 words.
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