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35 Cards in this Set
- Front
- Back
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impaired functions of sensory small fiber neuropathy
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temperature and pain
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mainfestations of sensory small fiber neuropathy
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neuropathic pain and loss of temperature and pain sensation
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impaired functions of sensory large fiber neuropathy
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joint position and vibration
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manifestations of sensory large fiber neuropathy
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sensory ataxia and falls
areflexia |
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impaired function with motor neuropathy
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muscles
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manifestations of motor neuropathy
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atrophy, weakness and fasiculations
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impaired function with autonomic neuropathy
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vasomotor para and sympathetic
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mainifestations of autonomic neuropathy
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syncope, orthostatic hypotension, impotence, sphincteric disturbance
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axonopathy
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axonal degeneration
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myelinopathy
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segmental demyelination
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neuronopathy
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neuronal degeneration
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disease with neuronpathy
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polio and ALS
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what is prognosis with neuronpathy
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won't get worse but won't get better either
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peripheral neuropathy is what
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symptom of an underlying disease
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what other tests may be necessary with peripheral neuropathy
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autonomic testing
antibody testing nerve biopsy |
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what is seen on EDX with axonal degeneration
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low amplitude from all stimulation sites
normal or minimal slowing distal latencies conduction velocities and F-wave latencies |
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EDX in polyneuropathy with segmental demyelination
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marked slowing of distal latencies, conduction velocities, and F-wave latencies
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common demyelinating polyneuropathies
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Guillian-Barre
Chronic inflammatory demyelinating polyneuropathy Charcot-Marie-Tooth disease |
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clinical signs of Guillian-Barre
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acute/subacute paralysis usually descending
Areflexia or hyporeflexia preceeding viral syndrome high CSF protein 1st week EMG evidence of slowing |
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treatment for Guillian Barre
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plasma exchange
intravenous immunoglobulin |
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clinical signs of chronic inflammatory demyelinating polyneuropathy
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slowly progress relapsing and remitting
High CSF protein EMG evidence of demyelination |
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what is chronic inflammatory demyelinating polyneuropathy responsive to
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plasma exchange and IVIG
corticosteroids and immunosuppresive agents |
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what are the clinical signs of charcot marie tooth disease
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slowly progressive
sensorimotor demylenating polyneuropathy Pes Cavus/hammer toes palpable greater auricular nerve positive family history |
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clinical sign of chronic arsenic or thallium poisoning
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painful sensorimotor polyneuropathy with mee's lines
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what are clinical signs to leprous neuropathy
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asymmetric sensory neuropathy
predilection to cold skin areas and skin ulceration |
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clinical signs of B12 deficiency and pernicious anemia
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Distal sensory>motor polyneuropathy
upper motor neuron signs mild memory loss red raw tongue |
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what are the two types of neuropathic pain
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dysesthetic and nerve trunk pain
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most painful polyneuropathies are of what type
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axonal
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motor polyneuropathies are usually what
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painless
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what polyneuropathies are rarely associated with pain
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uremic neuropathy
CMT disease GBS CIDP |
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what is primary treatment for axonal polyneuropathy
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treat the underlying cause
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what is recommended for pain control of polyneuropathies
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anticonvulsants
tricyclic antidepressants local agents |
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antivconvulsants for treatment of pain in polyneuropathy
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carbamazepine
gabapentin |
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tricyclic antidepressants for treatment of pain in polyneuropathy
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amytriptiline
nortryptiline |
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local agents for treatment of pain with polyneuropathy
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capsaicin
lidocaine |
