Question

question 14 (mandatory) (2 points) listen one of your patients brings her 3 year old son along with her to visit your office. during her adjustment she tells you that she is concerned about her son. he has started having problems running or walking, has become excessively clumsy and is falling over a lot more than he used to. while he is sitting playing on the floor you ask him to get up and observe him roll over onto his stomach, push himself up onto his hands and feet and then \walk\ his hands up his legs to reach a standing position. on examination you note evidence of a \winged\ scapula. what is the most likely diagnosis from the above information? myotonic dystrophy duchenne muscular dystrophy eaton - lambert syndrome myasthenis gravis

Explanation:

The patient is a young - male with progressive motor problems like difficulty in running/walking, clumsiness, and a Gower's sign (the described way of getting up) along with winged scapula. Duchenne Muscular Dystrophy (DMD) is an X - linked recessive disorder that commonly affects young boys, presenting with muscle weakness that progresses over time and often shows Gower's sign and scapular winging. Myotonic Dystrophy has different symptoms including myotonia. Eaton - Lambert Syndrome is related to neuromuscular junction problems often associated with cancer. Myasthenia Gravis is characterized by fluctuating muscle weakness mainly affecting the eyes and bulbar muscles initially.

Answer:

B. Duchenne Muscular Dystrophy