8: Neuropathy

Question 1

What type of neuropathy: peripheral, autonomic, or motor?

Focal neuropathy

Answer 1

Peripheral Neuropathy

Question 2

Treatment options for neuropathy.

Answer 2

• Tight glycemic control
• Anticonvulsants:
  
  • Lyrica (pregabalin)
  • Neurontin (gabapentin)
• Antidepressants:
  
  • Tricyclics
  • Serotonin
  • NE reuptake inhibitors (Cymbalta)
• Opioids

Question 3

Name 3 types of neuropathy?

Answer 3

1. Peripheral sensory
   
   1. Focal
2. Autonomic
3. Motor

Question 4

What type of neuropathy: peripheral, autonomic, or motor?

GU:

• Erectile dysfunction
• Retrograde ejaculation
• Bladder dysfunction

Answer 4

Autonomic Neuropathy

Question 5

What type of neuropathy: peripheral, autonomic, or motor?

Abnormal sweating

Answer 5

Autonomic Neuropathy

Question 6

What type of neuropathy: peripheral, autonomic, or motor?

GI:

• Gastroparesis
• Constipation/diarrhea
• Fecal incontinence

Answer 6

Autonomic Neuropathy

Question 7

What type of neuropathy: peripheral, autonomic, or motor?

Usually occurs in an ascending pattern, from the feet up.

Answer 7

Peripheral Neuropathy

Question 8

What type of neuropathy: peripheral, autonomic, or motor?

CV:

• Resting tachycardia
• Orthostasis
• Exercise intolerance

Answer 8

Autonomic Neuropathy

Question 9

What type of neuropathy: peripheral, autonomic, or motor?

Charcot’s foot:

• Poor circulation
• Poor sensation
• Skin breaks and infx (ulcers, destruction of bone, arches fall, metatarsals crumble)
• Pins and needles (not pain)

Answer 9

Motor Neuropathy

Question 10

When do patients run the risk of ulcers not healing?

Answer 10

When vascularization is not sufficient.