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→Muscular Dystrophy
=Muscle=
=Muscle=
==Muscular Dystrophy==
==Muscular Dystrophy==
*H&P:
*H&P: Proximal muscle weakness presenting at age 3-5, usually wheelchair bound early on, die in adolescence from respiratory failure.
*Dx:
*Dx: Toe walking, waddling gait, inability to climb stairs, Gower sign (pushing on legs with arms to straighten the trunk), Family history of X-linked disorder (Duchenne) with clinical symptoms or genetic testing in absence of family history. Look for absence of dystrophin gene. Elevated CK.
*Tx:
*Tx: '''Prednisone'''
=Movement Disorders=
=Movement Disorders=