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