Hancock Review Neuropathies Flashcards
DM neuropathy pattern:
Stocking and glove pattern- aka- distal symmetrical neuropathy- leads to ulcers burning nocturnal pain.
To: gabapentin, pregabalin, TCA.
Herpes Zoster + Post herpatic neuropathy
Dermatome pain present before rash with vesicles show up follow one dermatome don’t cross over. TX: Gabapentin, pregabalin, duloxetine, carbamazapine.
Vitamin B 6 deficiency in patients with TB
INH give Vitamin b 6
Thiamine or Vitamin b1 deficiency
Wet- cardiac, lung chf in nature- responds well to tx Dry- neurologic Found: ETOH, diets, bariatric surgery *Cramping legs think deficiency To: Give thiamine
Vitamin b12 cobalmin
Find: unsteady gait
Give vitamin b12 precursors
Dm autonomic neuropathy
Impotence in men
Amputation
Gastropoeresis
DM cranial nerves involved
Cranial nerve 3 oculomotor
Cranial nerve 4 and 5 trochlear and trigeminal
Findings: double vision, eye pain inability to adduct eye
DM autonomic neuropathy lifestyle changes
Workout
Eat less badness
Foot care podiatry
Antiemetic
MC small fiber neuropathy
DM- PAIN AND TEMP LOST
Relapsing neuropathy
Porphyria
MC inheritable neuromuscular disorder
Charcot Marie-tooth Dz
Findings in Charcot Marie dz
High arch pues cavus, hammer toes, scoliosis FMHX
Leprosy
Chronic granulomatous infectious dz affecting the skin and peripheral nerves incubation 3-7 years
Causative agent of leprosy
Mycobacterium Leora
Mode of transmission for leprosy
Nasal secretions