Duke PA Peripheral Neuropathy
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| lower motor neuron disease will have __ reflexes | decreased
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| diabetic neuropathy is considered a __-neuropathy | poly
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| what type of nerve is involved when you see numbness, pain | sensory neuron
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| case: obese, diabetic with prickly pain on anterior thigh | maralgia paresthetica (lateral femoral cutaneous)
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| __ is a sign of a chronic neuropathy | Hammer toes and high arched feet
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| microvascular hypothesis of diabetic neuropathy | poor blood blow causes hypoxia resulting in impaired axonal transport
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| small fiber peripheral neuropathy associated with diabetes | burning feet
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| autonomic peripheral neuropathy associated with diabetes | orthostasis, resting tachycardia, impotence in males, bowel/bladder disturbacnes
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| treatment for neuropathic pain associated with diabetic neuropathy | antidepressants (TCA), anticonvulsants (Neurontin), capsacian/anesthetic ointments
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| treatment for autonomic neuropathies associated with diabetes mellitus | orthostasis (raise head of bed, fluid intake, salt ingestion, stockings, fludrocortisone)
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| small fiber neuropathies | discomfort, burning, cold, sharp, shooting pain
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| large fiber neuropathies | tingling, decreased position sensation
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| some good screening tests for peripheral neuropathies | A1C, fasting glucose, serum protein electrophoresis, vitamin B-12 level, CBC
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