James S. Tiff, a 19-year old male, is immobile and hospitalized for pneumonia. H

Question

James S. Tiff, a 19-year old male, is immobile and hospitalized for pneumonia. He has a long history of progressive weakening of his muscles. In the first year of his life, James reached many gross motor skill milestones, such as holding his head up, rolling over, sitting, and standing, at normal times. However, he did not walk until age 16 months, and by age two, started to assume a lordotic posture while standing but not while sitting. A Gower's sign was noted by age four, as was a Trendelenberg gait. Over the next several years, he suffered progressive muscle weakness, most notably in the proximal musculature of the arms, pelvis, and legs. By age 9, he required orthotic braces to assist his walking, and by age 11, he was confined to wheelchair ambulation. In his early teen years, James was still able to use eating utensils, write, and type on a keyboard, though these functions have declined over the past year. At 16, he was hospitalized with bronchitis requiring antibiotic treatment, but recovered. Throughout the years, James has had no history of muscle pain or spasm, chest pain, or irregular heartbeat. He was diagnosed with a learning disability in the fourth grade, but has progressed through the grades with tutorial assistance. The only medications that he normally takes are calcium and fluoride supplements. James has a younger sister in good health and a younger brother (age 10) who is confined to a wheelchair with problems similar to James's. No other immediate or distant family members have musculoskeletal difficulties.?

a) What disease does James suffer from?
b) What muscles are most severely affected by this disease process?
c) Why did James's calves enlarge? What is the condition called?
d) Why is it important for James to take calcium and fluoride supplements?

Explanation / Answer

a. what disease does james suffer from?

answer; Dystrophinopathies. or limpb girdle musclular dystrophy .

b.what muscle are most severely affected by this disease process ?

Ans; proximal muscle which include the shoulder ,pelvis, upperarms and legs .

C. Why did james calves enlarge? what is the condition called ?

ans; It is due to replacement of the fat and connective tissues

d. Why is it important for james to take calcium and fluride supplements ?

ans; It is important to take the calicum and flouride because it will prevent the the osteoporosis condition .

Related Questions

Navigate

• Browse (All)
• Browse J
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.