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Myotonic dystrophy--the most common adult form of muscular dystrophy--is a chronic, progressive, and inherited neuromuscular condition presenting with multisystemic complications including distal muscle weakness, myotonia, hypersomnolence, early-onset cataracts, cardiac conduction abnormalities, and slurred speech and swallowing problems (Harper, 2001).
HYPERTONIC- Describes a solution with a higher solute concentration compared with another solution. 1  HYPOTONIC - Describes a solution with a lower solute concentration compared with another solution. 2  ISOTONIC - Describes a fluid with an equal concentration to another fluid; water can diffuse equally both in and out of the cell.