NBME 12 High Yields
NBME 12 High Yields
NBME 12 High Yields
So one of the X chromosomes she carries has the DMD mutation. If the normal X chromosome becomes inactivated in her muscle cells (so-called "unfavorable lyonization"), she would display the phenotypical features of the disease
trichomonas: strawberry [erythematous] mucosa, elevated pH, and motile trophozoites. Differential would have been Gardnerella vaginalis but microscopy of this shows clue cells, or vaginal epithelial cells covered by bacteria. Both are treated with metronidazole
double vision,ptosis,muscle weakness,fatigue imrovement in muscle strenght with neostigmine. DX is myesthenia gravis where there are antibodies are present against post synaptic ACH receptors which is membrane protiens.
http://www.bioon.com/bioline/neurosci/course/brstem.html