Epistemis

Proximal weakness

Specialty: Musculoskeletal.

  • it is difficult to climb stairs
  • combing hair
  • get up from the chair

Why it occurs

  • Myopathy (corticosteroids, statins)
  • Polymyositis/dermatomyositis
  • Hypo/hyperthyroidism
  • Myasthenia

Initial workup

CK, TSH; assess EMG and antibodies.

red flags

Progressive weakness with dysphagia or dyspnea.

Standard management

  • Treat the cause — withdraw drug, immunosuppressant...

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousWeakness of the hand
Area
Musculoskeletal
Listed causes
4
Treatment options
1
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