Evaluation of Neuromuscular Disease in Adults Presenting with Dyspnea.

IF 2.3 3区 医学 Q2 CRITICAL CARE MEDICINE
Daniel Scullin, Joseph Barney
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引用次数: 0

Abstract

Neuromuscular disorders in adults can present with a wide array of clinical features and vary from acute life-threatening complications such as respiratory failure to slow progressive weakness and comorbidity. Common to most of these disorders are symptoms of weakness and dyspnea. Many patients with occult neuromuscular disorders will be evaluated for underlying cardiac and pulmonary disease by primary care and subspecialty providers and can experience delays in diagnosis due to challenges in attaining early neurological testing and recognizing vague symptoms as potentially arising from the neuromuscular apparatus. Additionally, many adults who develop neuromuscular disorders have concomitant cardiac or pulmonary disease and the presence of dyspnea or limitations in mobility are often attributed to these without pursuing further workup. We outline a review of neuromuscular diseases in adults and an approach to evaluation.

成人神经肌肉疾病的临床表现多种多样,既有危及生命的急性并发症(如呼吸衰竭),也有缓慢进展的虚弱和合并症。大多数这些疾病的共同症状是虚弱和呼吸困难。许多隐匿性神经肌肉疾病患者在接受初级保健和亚专科医疗服务时,都会被评估是否患有潜在的心脏和肺部疾病,但由于难以获得早期神经系统检测结果,以及无法将模糊症状识别为可能由神经肌肉器官引起,因此可能会延误诊断。此外,许多患有神经肌肉疾病的成年人都同时患有心脏或肺部疾病,出现呼吸困难或活动受限时往往会被归咎于这些疾病,而不会进行进一步的检查。我们概述了成人神经肌肉疾病的回顾和评估方法。
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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.
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