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28) A 55-year-old man comes to the office for evaluation of chronic muscle weakness. Over the past several months, the patient has had increasing difficulty walking up stairs and lately has noticed difficulty combing his hair and lifting objects overhead.

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The 55-year-old man is experiencing chronic muscle weakness and struggles with activities like walking up stairs, combing hair, and lifting objects overhead. This could be due to a neuromuscular disorder or muscular dystrophy, both of which cause progressive muscle weakness. To determine the exact cause, the doctor will conduct a thorough examination and may order tests like blood tests and genetic testing. The patient may be referred to a specialist for further evaluation and treatment. It's important for the patient to see a healthcare professional for an accurate diagnosis and proper care.

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