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Old 01-16-2013
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Default Should muscle weakness

A 45-year-old man presents to your office complaining of a 2-month history of weakness of his shoulder muscles. He reports he has been gaining a lot of weight, though he has not changed his diet. He drinks alcohol everyday. On examination, his BP is 145/85 mm/Hg and PR 95/min. He is obese but not pale or jaundiced. Laboratory investigations reveal normal transaminases and creatine kinase. A muscle biopsy shows selective atrophy of type II muscle fibers. What is the most likely cause of his muscle weakness?

A) Alcoholism
B) Hyperthyrodism
C) Hypothyrodism
D) Cushing's syndrome
E) SLE
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Old 01-16-2013
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Cushing syndrome
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Old 01-16-2013
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Originally Posted by SarahM View Post
A 45-year-old man presents to your office complaining of a 2-month history of weakness of his shoulder muscles. He reports he has been gaining a lot of weight, though he has not changed his diet. He drinks alcohol everyday. On examination, his BP is 145/85 mm/Hg and PR 95/min. He is obese but not pale or jaundiced. Laboratory investigations reveal normal transaminases and creatine kinase. A muscle biopsy shows selective atrophy of type II muscle fibers. What is the most likely cause of his muscle weakness?

A) Alcoholism
B) Hyperthyrodism
C) Hypothyrodism
D) Cushing's syndrome
E) SLE

Cushing's syndrome!!!!!!!!!!
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