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23 Cards in this Set
- Front
- Back
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what is a common time frame for onset of polyneuropathy
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months to years
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what dz is this: loss of sensation esp vibration mayb motor, in feet and knees. close to camp fire, numb,tingle,burn,sting,asleep,cold,may fall, ortho hypo
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peripheral neuropathy
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common causes of periph neurop
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1. Diabetes, whether type I or type II 2. Hypothyroidism 3. Alcoholism 4. Deficiency of vitamin B-12
4. Immune-mediated: multiple myeloma, monoclonal gammopathies, rheumatoid arthritis 6.Drugs, including agents for chemotherapy such as vincristine and cis-platinum 7. Heavy metals such as lead, thallium, arsenic |
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what dz is this: worsening paral ascending from the feet, dtrs lost in a week,may cause death in wk to mo, demylinating on cn and periph nerves. usually follow prior recent infxn
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Guillain barre-aka rapid polyneruopathy
only motor roots of peripheral are involved |
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what dz is similar to guillian barre but has opthalmaplegia and cerebellar def,
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miller fisher variation
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how do u dx guillian barre
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electromyogram shows delayed f waves- and dec velocity of conduction, LP abnormal in a week or more SIGNIF ELEVaTION of CSF PROTEIN
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what dz is this: slower form of polyneurop, devel over 3-6 mo with mild weaknes, mor sensory probs, dec reflexes, inc csf protein, responds to CS and plasma exhange and IVIgG
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chronic inflam demylinating polyneurop
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what are the tx for chronic inflam demylinating dz
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plasma exhange to remove abnormal poteins, and IVIgG which puts in normal igg that attacks the abornam igg that is causing guillian barr
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what dz is this: combo of motor and sens ( more sensory), affects the soles of feet and then upper feet, shin, autonom defic, mononeurop of 3, 6, 7
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diabetic neuropathy
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what drugs may help with neuropathic pain in diabetic neuropathy
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amitrptyline or other tricyclic antidepressants, gabapentin or other anticonvulsants, and opiods es tramadol
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how does radial neuropathy present
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wrist drop,Paralysis of the brachioradialis, supinator, wrist and digit extensors, sometimes pain over arm or forearm with paresthesia over back of forearm and wrist- found in lead intox
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how long till radial neuropathy gets better
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<2 months unless a bad trauma
may also benefit from a cock up splint |
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what causes radial neurop
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Fracture of the humerus near the radial groove
Compression by sleeping with arm under head “Saturday Night Palsy” |
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what are symptoms of femoral neurop
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painful, paresthesia over medial and anterior thigh and lower leg, **loss of patellar reflex, quad weakness
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what might u need to dx femoral neurop
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ct of pelvis, or electromyelogram
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what nerve roots are the lateral femoral cutaneous nerve
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L2-L3
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what is the main symptom of lat fem cut neurop
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meralgia paresthetica-numbness in lat thigh, occasionall b/l
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who usually get meralia paresthetica and how does it get better
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obese men or preg women
gets better with weight loss or rarely inguinal release |
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what dz presents are foot drop
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common peroneal neuropathy
l5 also causes foot drop |
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where does common peroneal nerve entrapment comonly occur
what is this usually caused by |
neck of the the fibula
trauma or crossing legs |
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compression of which nerves caues sciatica bc of disc
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l4,l5, s1
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what dz is this:entrapment of tibeal nerve around the medial malleoulus, pain and paresthesia in the sole of the foot, atrophy of muscles of the sole of the foot,
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tarsal tunnel syndrome
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what tests are positive at the medial malleoulus in tarsal tunnel syndrome
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tinel and phalen
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