Clinical approach to the diagnostic evaluation of hereditary and acquired neuromuscular diseases.

Clinical approach to the diagnostic evaluation of hereditary and acquired neuromuscular diseases.
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DOI:
10.1016/j.pmr.2012.06.011
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发表时间:
2012-08
影响因子:
1.7
通讯作者:
McDonald, Craig M.
McDonald, Craig M.
中科院分区:
医学4区
文献类型:
--
作者:
McDonald, Craig M.

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In the context of a neuromuscular disease diagnostic evaluation, the clinician still must be able to obtain a relevant patient and family history and perform focused general, musculoskeletal, neurologic and functional physical examinations to direct further diagnostic evaluations. Laboratory studies for hereditary neuromuscular diseases include relevant molecular genetic studies. The EMG and nerve conduction studies remain an extension of the physical examination and help to guide further diagnostic studies such as molecular genetic studies, and muscle and nerve biopsies. All diagnostic information needs to be interpreted not in isolation, but within the context of relevant historical information, family history, physical examination findings, and laboratory data, electrophysiologic findings, pathologic findings, and molecular genetic findings if obtained.
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