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Camille Smith-Muscular Dystrophy-(American)-Posted on Jan.29th, 2016

Author Zhangqi Views Posted at 2016/01/29

Name: Camille Smith
Sex: Female
Nationality: American
Age: 25 years old
Diagnosis: Limb girdle muscular dystrophy (type 2 A)
Date of Admission: December 25, 2015
Treatment hospital/period: Wu Medical Center/14 days

Before treatment:
The patient could walk and run when she was more than 1 year old, she fall occasionally when running, upper limbs were normal. She was found that it was easy to fall when walking and running by teacher at school when she was 7 years old, her family took her to the hospital to do physical examination. 12 years ago(January 4, 2003), she got muscle biopsy and diagnosed as “Limb girdle muscular dystrophy (type 2 A)”. She did the rehabilitation exercise, and took health care products with Coenzyme Q10 and L-carnitine, but there was no effectiveness. The patient’s lower limbs weakness aggravated gradually, difficulty walking, upper limbs appeared weakness as well, shortness of breath sometimes, her respiration was labored, accompanied by the left prothorax pain paroxysmal.

The patient’s spirit was good, she slept well. Her diet was good. Her urination and stool were normal, her weight had no a big change.

Admission PE:
Tp: 36.5℃; Br: 20/min; Hr: 98/min; Bp: 125/76mmHg; Height: 165cm; Weight: 53Kg. Peripheral blood oxygen saturation: 92-95%. The skin and mucosa were normal, with no yellow stains or petechia. Through auscultation, the respiratory sounds in both lungs were clear, with no dry or moist rales, respiratory mobility was a little less than normal. The heart sounds were strong, the cardiac rate was not neat with no obvious murmur in each valves. The abdomen was flat and soft. There was no pressing pain or rebound tenderness. Her liver and spleen had no enlargement. Shoulder muscle and the pelvic girdle muscle had atrophy, she had mild wing shoulder. Difficulty getting up, needed others’ help. Standing balance was poor. Difficulty walking. Double strephenopodia prolapse.

Nervous System Examination:
Camille was alert, and her spirit was good. Her speech was clear. Her memory, calculation ability and orientation were all normal. Both pupils were equal in size and round, the diameter was 3.0mms. Both pupils were sensitive to light stimulus. Both eyeballs had flexible movement. The forehead wrinkle pattern was symmetrical. The ability to close her eyes was strong. The bilateral nasolabial sulcus was equal in depth. The tongue was centered in the oral cavity, with no teeth deflection. Drum cheeks had no leak. She could raise the soft palate strongly. Bilateral muscle strength of neck turning and shrug shoulders were level 4, abductor muscle strength of upper limbs was at level 3 -. Difficulty lifting arms, adduction muscle strength of upper limbs was at level 3, flexor muscle strength was at level 2, the extensor muscle strength of the left upper limb was at level 4, the extensor muscle strength of the right upper limb was at level 3, grip strength was at level 4, the lower limbs muscle strength was at 3 - level, muscle tension of four limbs were almost normal, limbs’ tendon reflexes were very low, abdominal reflex disappeared. The pathological character was negative. The deep and shallow sensation was normal through loose measure. Finger to nose test, finger to finger test and rapid rotation test were almost normal, she could not finish the heel-knee-shin test. Meningeal irritation sign was negative.

Treatment:
We initially gave Camille a complete examination. She was diagnosed as limb girdle muscular dystrophy (type 2 A). She was implanted three times mesenchymal stem cells and three times neural stem cells. She received the treatment to start to repair and regeneration of muscle fibers, activate the stem cells in her body, nourish the nerves and muscle, improve the blood circulation,promote restoration of the neuromuscular therapy and stable each viscera function. At the same time, noninvasive ventilator to improve her oxygen supply, adjust the pressure exponent of the breathing machine. This was accompanied with physical rehabilitation treatment.

Post-treatment:
The patient’s condition had improved for the 14 days treatment. She felt her breathing was better obvious. Blood oxygen saturation was 95-98%. Heart rate was more stability compared with previous, heart rate was 80-95/min . The pain of precordium was much better, breathing movement of thorax increased, double lung breath sounds was clearer than before, proximal muscle strength of four limbs and hands grip strength were stronger, lift arm and moves easily obviously, the grip strength could reach at level 5 -, the posture of standing and walking with other’s help had improved. The feeling of fatigue was better.

 

 

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