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Ahmad cannot run

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Mind Map on Ahmad cannot run, created by KK ANon on 30/03/2020.
KK ANon
Mind Map by KK ANon, updated more than 1 year ago
KK ANon
Created by KK ANon about 5 years ago
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Resource summary

Ahmad cannot run
  1. Anatomy of the foot
    1. Muscles
      1. Thyroid Hormone
        1. Inc. energy uptake of muscles, Inc. muscle size as it does protein synthesis THOUGH excessive amounts can cause weakened muscles do to activation of proteolysis ‘ AND lack of thyroid hormone causes the muscle to become sluggish
      2. Bones
        1. Nerves
          1. Arteries
          2. Physical examination of ankle & foot
            1. Look
              1. Symmetry Valgus/varus feet, Pes planus/pes cavus, Hallux valgus, Toe clawing
              2. Feel
                1. Bony prominances, joints, ligaments, tendons, dorsalis pedis artery
                2. Move
                  1. Special tests include: Inversion and eversion stress tests , Morton’s Metatarsalgia test
                3. Muscular Dystrophy
                  1. a group of inherited genetic conditions that gradually cause the muscles to weaken, leading to an increasing level of disability.
                    1. Types
                      1. Autosomal recessevie
                        1. Limb girdle
                          1. Congenital
                          2. Autosomal dominant
                            1. myotonic
                              1. Fascioscapulohumeral
                                1. Oculopharyngeal
                              2. Sex linked
                                1. Duchenne Muscular Dystrophy
                                  1. Causes
                                    1. a genetic mutation that prevents the body from producing
                                      1. Dystrophin; connects the cytoskeleton of a muscle fiber to the surrounding extracellular matrix through the cell membrane.
                                        1. Pathology
                                          1. Absence of dystophin leads to muscle damage leading to inflammation and finally leading to cell death
                                    2. Risk factors
                                      1. history of the condition in the family
                                      2. Signs & Symptoms
                                        1. Unable to walk by 18 months
                                          1. Walking on toes
                                            1. Falling down
                                              1. Gower’s manoeuvre
                                        2. Mode of inheritance
                                          1. Investigations
                                            1. Primary
                                              1. Serum CK
                                                1. Cardiac assessment
                                              2. Secondary
                                                1. Muscle biopsy
                                                  1. PCR for the dystrophin gene mutation
                                              3. Prognosis
                                                1. Most Death due to respiratory failure or cardiomyopathy
                                                  1. no cure
                                                    1. Advancement in medical field increased life expectancy by 10 years
                                                  2. Complications
                                                    1. Learning disability
                                                      1. Absence of dystrophin in the brain
                                                        1. challenges with important brain functions such as attention, memory, learning, speech, and intellectual ability and more susceptible to ADHD, OCD, Epilepsy, ASD.
                                                      2. Cardiomyopathy
                                                        1. Pseudohypertrophy of calf muscles
                                                          1. Contractures
                                                          2. More infections
                                                            1. Steroid treatment problems
                                                              1. Pulmonary problems
                                                          3. Severe psychological impact on parents and children
                                                        2. Becker
                                                          1. Emery-Dreifuss
                                                      3. Abnormal gait
                                                        1. Antalgic
                                                          1. Ataxic
                                                            1. Trendelennerg
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