The inflammatory myopathies

v.djabatey
Mind Map by , created almost 6 years ago

paeds-neurology Mind Map on The inflammatory myopathies, created by v.djabatey on 01/12/2014.

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v.djabatey
Created by v.djabatey almost 6 years ago
Epilepsies of childhood
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Secondary headaches- raised ICP & space-occupying lesions
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Primary headaches
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Input, output and storage devices
Mr A Esch
GCSE - AQA: C1.1 The Fundamental Ideas in Chemistry
Olly Okeniyi
Peripheral motor disorders- neuromuscular disorders
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Ataxia
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Epilepsies of childhood-pt2
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Classification of headache disorders
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Peripheral neuropathies
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The inflammatory myopathies
1 benign acute myositis
1.1 assumed post-viral phenomenon
1.1.1 often follows an upper resp tract infection
1.1.1.1 runs a self-limiting course
1.2 pain & weakness in the affected mm
1.3 CPK usually raised
2 dermatomyositis
2.1 systemic illness
2.1.1 probably due to an angiopathy
2.2 onset 5-10 years old
2.2.1 acute
2.2.2 typically insidious
2.2.2.1 fever
2.2.2.2 misery
2.2.2.3 eventually symmetrical mm weakness
2.2.2.3.1 mainly proximal
2.2.2.4 pharyngeal mm involvement
2.2.2.4.1 swallowing affected
2.2.2.5 heliotrope (violaceous) rash
2.2.2.5.1 characteristic
2.2.2.5.2 eyelids
2.2.2.5.3 extensor surfaces of e.g.
2.2.2.5.3.1 elbow
2.2.2.6 periorbital oedema
2.2.2.7 subcutaneous calcification
2.3 Ix
2.3.1 raised ESR, CRP possibly
2.3.2 muscle biopsy
2.3.2.1 inflammatory cell infiltrate & atrophy
2.4 Mx
2.4.1 physiotherapy
2.4.1.1 prevent contractures
2.4.2 corticosteroids
2.4.2.1 mainstay of Rx
2.4.2.2 continue @ tailored dose for 2 years
2.4.3 immunosuppressants
2.4.3.1 methotrexate
2.4.3.2 ciclosporin
2.5 mortality= 5-10%

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