ABPMR Neuromuscular Medicine case studies
ABPMR Neuromuscular Medicine · Put your knowledge to work in context.
The Neuromuscular Medicine subspecialty certificate is issued by the American Board of Physical Medicine and Rehabilitation (ABPMR), an independent nonprofit organization that certifies physiatrists. It recognizes a physician who has met the ABPMR's subspecialty requirements and passed an examination demonstrating added expertise in disorders of the motor unit - spanning anterior horn cell and spinal cord disease, nerve root and plexus lesions, peripheral neuropathy, neuromuscular junction disorders, and myopathies - together with the electrodiagnostic and clinical reasoning skills used to localize and manage those conditions. The ABPMR Neuromuscular Medicine case studies are 5 cases and about 3,937 words.
1A Retired Electrician Whose Hand Weakness Is Not in His Neck
R is a 61-year-old right-handed retired electrician referred for 11 months of progressive right hand weakness. He can no longer turn keys or open jars, and for 4 months has tripped over his left foot.
587 words, about 3 min2Flail Arm After a Highway Crash: Reading the SNAPs
K is a 24-year-old right-handed motorcycle courier who crashed at highway speed 3 weeks ago. Her right arm is flail: deltoid, biceps, triceps, and wrist extensors are 0/5, finger flexors are 3/5, with sensory loss across the C5-T1 dermatomes and a right Horner syndrome.
843 words, about 4 min3Wrist Drop in a Patient With Long-Standing Diabetes
D is a 63-year-old retired mail carrier with a 12-year history of type 2 diabetes (HbA1c 9.2%) and a 5-month history of burning anterior thigh pain, progressive difficulty climbing stairs, and, for 6 weeks, left wrist drop. Examination shows hip flexion 4-/5 bilaterally, shoulder abduction 4/5, left wrist extension 3/5, global areflexia, and diminished pinprick to the mid-shins.
843 words, about 4 min4Bulbar Weakness, a Negative Acetylcholine Receptor Antibody, and an Intolerant Pill
L is a 38-year-old teacher with 3 months of fluctuating ptosis, evening diplopia, nasal dysarthria, and head drop. She has no limb weakness.
829 words, about 4 min5Should Stopping the Statin Be the Whole Treatment?
P is a 64-year-old retired librarian with 8 months of progressive difficulty rising from a chair, climbing stairs, and lifting a laundry basket. Atorvastatin 40 mg was started 2 years ago and she continues it.
835 words, about 4 min