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53 y/o with insidious onset of blurred vision, diplopia x1 day, ptosis, 6th nerve palsy, unreactive pupils, hoarse voice, dysarthria, weak neck muscles. EMG has increased amplitude with repetitive nerve stimulation. Dx?

1 Answer

6 votes

Final answer:

The student's symptoms are consistent with a diagnosis of Myasthenia Gravis, an autoimmune disorder that affects the neuromuscular junction and leads to muscle weakness and fatigue. Treatment may include medications to counteract the effects of the autoimmune response or suppress the immune system.

Step-by-step explanation:

The student's symptoms are consistent with a diagnosis of Myasthenia Gravis. Myasthenia gravis is an autoimmune disorder that affects the neuromuscular junction, leading to muscle weakness and fatigue. The initial symptoms often involve drooping eyelids (ptosis) and double vision (diplopia) which can progress to weakness in other muscles.

Other symptoms include unreactive pupils, hoarse voice, dysarthria (difficulty speaking), and weak neck muscles. The EMG findings of increased amplitude with repetitive nerve stimulation are characteristic of myasthenia gravis.

Treatment for myasthenia gravis may include medications to counteract the effects of the autoimmune response or to suppress the immune system.

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