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“You have been asked to examine the patient’s arms and legs. You find fasciculations, symmetrical muscle wasting and weakness in the limbs.”
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What is your diagnosis?
The diagnosis is
What is the most common form of the disease in the UK?
The most common form is
There is no definitive test for MND so the diagnosis relies on clinical findings. Electrophysiology supports your diagnosis while other tests exclude other causes. What red flags in your clinical assessment would lead you to exclude MND?
What would you tell the examiners you would do next?