Quiz 7 A 58-year-old woman is admitted to hospital with a history - TopicsExpress

Quiz 7 A 58-year-old woman is admitted to hospital with a history of general muscle weakness of 12 months duration. She also gives a history of pain in the small joints of her hand, which she has had for more than 18 months. In addition, there is a history of difficulty swallowing. Examination is normal except for tenderness of her upper limbs. Laboratory tests reveal; Hb 9.5 g/dl, ESR 60 mm/hr, Creatine kinase is raised. A.What is the most likely diagnosis? B.Mention two other investigations to confirm the diagnosis. C.Mention three possible underlying causes D.What is the cause of dysphagia in this patient? E.What is the treatment?

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