Hancock Review Neuropathies Flashcards

1
Q

DM neuropathy pattern:

A

Stocking and glove pattern- aka- distal symmetrical neuropathy- leads to ulcers burning nocturnal pain.
To: gabapentin, pregabalin, TCA.

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2
Q

Herpes Zoster + Post herpatic neuropathy

A

Dermatome pain present before rash with vesicles show up follow one dermatome don’t cross over. TX: Gabapentin, pregabalin, duloxetine, carbamazapine.

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3
Q

Vitamin B 6 deficiency in patients with TB

A

INH give Vitamin b 6

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4
Q

Thiamine or Vitamin b1 deficiency

A
Wet- cardiac, lung chf in nature- responds well to tx
Dry- neurologic 
Found: ETOH, diets, bariatric surgery
*Cramping legs think deficiency 
To: Give thiamine
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5
Q

Vitamin b12 cobalmin

A

Find: unsteady gait

Give vitamin b12 precursors

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6
Q

Dm autonomic neuropathy

A

Impotence in men
Amputation
Gastropoeresis

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7
Q

DM cranial nerves involved

A

Cranial nerve 3 oculomotor
Cranial nerve 4 and 5 trochlear and trigeminal
Findings: double vision, eye pain inability to adduct eye

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8
Q

DM autonomic neuropathy lifestyle changes

A

Workout
Eat less badness
Foot care podiatry
Antiemetic

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9
Q

MC small fiber neuropathy

A

DM- PAIN AND TEMP LOST

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10
Q

Relapsing neuropathy

A

Porphyria

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11
Q

MC inheritable neuromuscular disorder

A

Charcot Marie-tooth Dz

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12
Q

Findings in Charcot Marie dz

A

High arch pues cavus, hammer toes, scoliosis FMHX

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13
Q

Leprosy

A

Chronic granulomatous infectious dz affecting the skin and peripheral nerves incubation 3-7 years

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14
Q

Causative agent of leprosy

A

Mycobacterium Leora

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15
Q

Mode of transmission for leprosy

A

Nasal secretions

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16
Q

Paucibacillary-Tuberculoid leprosy

A

Well demarcated dry patch with minimal disfigurations

17
Q

Tuberculoid leprosy tx:

A

Dapsone+ rifampine

18
Q

Lepromatous leprosy findings

A

Leon facial features thick, skin, loss of cartilage, saddle nose, claw hands

19
Q

Leprosy Leprosy tx:

A

Dapsone+rifampin+ clotazimine

20
Q

Diphtheria

A

Grey nastiness membrane in throat, descending paralysis

Tx: with abx and antitoxin

21
Q

Carpal tunnel = which nerve ?

A

Median nerve compression sx: numbness paresthesia in thumb, index and half of ring finer COMMON nocturnal awakening

22
Q

Tinnels sign

A

Tingling elicited when tapping over wrist with hammer or finger + = median nerve compression

23
Q

Phalens sign

A

Tingling elicited when wrists are flexed for 30-60 seconds + = median neuropathy

24
Q

Carpal tunnel TX

A

NSAID
Volar wrist splints
Surgical decompression

25
Q

Ulnar/ cuboidal syndrome

A

Sx: paresthesia Andy tingling at half of the 4th and entire 5th finger pain at elbow

Test: tinnels at elbow

To: elbow pads, avoid activity which aggravates

26
Q

Radial neuropathy

A

Wrist drop

Nerve winds down proximal humerus in spiral groove and proceeds lateral arm.

27
Q

Lateral demoral cutaneous neuropathy

A

Sx:pain and paresthesia at anterolateral thigh
Compression to the femoral nerver and entrap ingunial ligament
Increased pain when standing or walking relieve when sitting

28
Q

Perineal neuropathy

A

Foot drop

Helps to lose weight place ankle in brace

29
Q

Complex regional pain syndrome

A

Occurs after extremity trauma, burns, stroke, orthopedic surgeries

Immobilization of the limb often proceeds sx

30
Q

Complex pain syndrome stage acute:

A

Hyperalgia exaggerated response to noicveptive stimuli out of proportion pain
Edema
Cold , hot limbs
Tx: TCA, alendronate, prednisone

31
Q

Complex regional pain dytrophic stage:

A

Occurs 3-4 months after injury
Burning pain
Brawny firm edema
Tx: capscasian, gabapentin

32
Q

Complex regional pain syndrome strophic stage:

A
Occurs 6 mo after insult 
Spread of pain 
Allodynia : pain with stimuli that is not painful 
Subcutaneous atrophy 
Tx: pain center, nerve blocks