Diabetic Polyneuropathy (P2)

Question 1

Briefly define the term diabetic polyneuropathy

Answer 1

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Question 2

Describe the clinical manifestations of diabetic neuropathy that affects:

a. Mixed diameter nerve fibres
b. Small diameter nerve fibres

Answer 2

a. Mixed diameter nerve fibres

b. Small diameter nerve fibres

Question 3

Describe the clinical manifestations of diabetic neuropathy that affects:

a. Mixed diameter nerve fibres
b. Small diameter nerve fibres

Answer 3

a. Mixed diameter nerve fibres
- absence of achilles reflex
- light touch (parasthesia in feet, diminished sensation)
- proprioception (diminished)
- vibration sense (diminished)
- ssx usually in the feet; if severe, observe sensory and motor (e.g. weakness) in the hands as well
- rarely disabled
b. Small diameter nerve fibres
- dull aching/burning pain in feet
- decreased touch and pain sensation
- tendon reflexes, proprioception and motor function usually preserved

Question 4

What is Diabetic Mononeuropathy

Answer 4

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Question 5

Discuss the typical clinical manifestations of diabetic mononeuropathy affecting the oculomotor nerve

Answer 5

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Question 6

Discuss the prognosis of Diabetic mononeuropathy

Answer 6

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