click below
click below
Normal Size Small Size show me how
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 |