Ahmad Cannot Run

Ahmad Cannot Run

1. Normal Growth Parameters

   • Physical growth includes attainment of full height and appropriate weight and an increase in size of all organs (except lymphatic tissue, which decreases in size)
   • Small for gestational age: < 10th percentile
     • Appropriate for gestational age: 10th to 90th percentile
       • - Large for gestational age: > 90th percentile.

2. anatomy of the foot

   • bone
   • muscles

3. possible causes

   • muscle dystrophy
     • x-linked
       • duchennes muscle dystrophy
         • in
         • clinical presentation
           • gowers sing
           • calf muscles pseudohypertrophy
         • progression and comlications
           • progressive weakness of muscles
             • cardiomyopathies
             • respiratory failure
               • possible effect on CNS
                 • DEATH USUALLY OCCURS BY 18- 20
         • PATHOPHYSIOLOGY
         • Investigations
           • History taking
             • Genetic test
               • Muscle biopsy
           • Serum CK levels (>1000 U/L)
             • Western blot
         • management
           • pallative care
             • gene therapy may be apossible treatment
       • Becker muscle dystrophy
       • Emery-Dreifuss muscular dystrophy
     • autosomal dominant
       • Oculopharyngeal muscular dystrophy
     • autosomal recessive
       • Limb-girdle muscular dystrophy
       • Facioscapulohumeral muscular dystrophy

4. physiology

   • muscle
     • creatine kinase
     • dystrophin
       • form the dystrophin-glycoprotein complex
   • gait

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