Changes

==Muscular Dystrophy==

==Muscular Dystrophy==

*H&P: Proximal muscle weakness presenting at age 3-5, usually wheelchair bound early on, die in adolescence from respiratory failure.

*H&P: Proximal muscle weakness presenting at age 3-5, usually wheelchair bound early on, die in adolescence from respiratory failure.

*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.

*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: '''Prednisone'''

*Tx: '''Prednisone'''