[68F] Experiencing muscle weakness and mild shortness of breath

Patient Description

A 68-year-old female reports muscle weakness that has been present for about a year, with a severity of 6 out of 10. The weakness worsens with activity and improves with rest, leading to restricted daily activities. Additionally, she experiences mild shortness of breath during physical activity. She has a history of atrial fibrillation (A-fib) diagnosed 6 years ago and currently smokes 10 cigarettes daily. Her current medications include Effexor, diltiazem, protonix, Xarelto, flecainide, atorvastatin, and valsartan/HCTZ. There is no reported family history of autoimmune diseases, no known allergies to medications, and no recent injuries or accidents. No other symptoms such as sudden onset of severe symptoms, chest pain, palpitations, vision changes, difficulty swallowing, or voice changes were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Chronic Obstructive Pulmonary Disease (COPD): This is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's commonly caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. Symptoms include breathing difficulty, cough, mucus (sputum) production, and wheezing.

    • Treatment typically involves medications to help manage symptoms, pulmonary rehabilitation, and in severe cases, oxygen therapy or surgery.
  • Myasthenia Gravis: This is a chronic autoimmune neuromuscular disease that causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs. Symptoms include muscle weakness that improves with rest and worsens with activity.

    • Treatment typically involves medications to help manage symptoms, physical therapy, and in some cases, surgery.
  • Peripheral Artery Disease (PAD): This is a common circulatory problem in which narrowed arteries reduce blood flow to your limbs. When you develop peripheral artery disease, your extremities — usually your legs — don't receive enough blood flow to keep up with demand. This causes symptoms, most notably leg pain when walking (claudication).

    • Treatment typically involves lifestyle changes, medications, and in some cases, angioplasty or surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to manage your symptoms:

  1. Stop smoking: This is the most important step you can take to slow the progression of COPD and improve your symptoms.
  2. Exercise regularly: Regular physical activity can help improve your muscle strength and boost your overall feelings of well-being.
  3. Eat a healthy diet: A diet rich in fruits, vegetables, lean proteins, and whole grains can help improve your overall health and energy levels.
  4. Rest and avoid overexertion: If you have Myasthenia Gravis, rest and avoiding overexertion can help manage your symptoms.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or you develop new symptoms
  • If you experience severe shortness of breath or chest pain
  • If you have difficulty swallowing or changes in your vision

Please remember, I am an AI and this advice is based on the information you have given me. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of Chronic Obstructive Pulmonary Disease (COPD)?

Common symptoms of COPD include breathing difficulty, chronic cough, mucus production, and wheezing. These symptoms are often exacerbated by physical activity and can progressively worsen over time.


How does Myasthenia Gravis affect muscle function?

Myasthenia Gravis affects muscle function by causing weakness in the skeletal muscles, which worsens with activity and improves with rest. This can impact muscles involved in breathing and movement, leading to fatigue and reduced physical capability.


What lifestyle changes can help manage Peripheral Artery Disease (PAD)?

Lifestyle changes that can help manage PAD include quitting smoking, engaging in regular physical activity, eating a heart-healthy diet, and managing other health conditions such as diabetes and high blood pressure. These changes can improve blood flow and reduce symptoms.


Why is it important to stop smoking if you have COPD?

Stopping smoking is crucial for individuals with COPD because smoking is a major cause of the disease and can accelerate its progression. Quitting smoking can help slow the decline in lung function, improve symptoms, and enhance overall health.


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