Obj. 19: Neuropathies - aa Flashcards
Lateral thigh numbness, unilateral:
What is it?
What causes it?
How might it be treated?
~Meralgia paresthetica
~Compression of lateral femoral cutaneous nerve (L2-L3) in obesity, pregnancy
~Hydrocortisone injections medial to the ASIS can temporarily relieve symptoms
Your fellow PA tells you she had a patient with notalgia paresthetica. What is that?
chronic, localized pruritus between scapulae
All eligible adults should receive the herpes zoster vaccine because it reduces the incidence of post-herpetic neuralgia.
T/F
FALSE.
Yes, all eligible patients should receive the vaccine but the vaccine does NOT reduce the incidence of post-herpetic neuralgia.
Post-herpetic neuralgia develops in __% of patients who have shingles.
15%
Treatment options for post-herpetic neuralgia?
- simple analgesics
- TCAs, gabapentin
- topical capsaicin cream
What’s a peripheral neuropathy that is inherited?
Charcot-Marie-Tooth disease
How does Charcot-Marie-Tooth disease usually present?
How does it progress?
~Presents with foot deformities/gait disturbances in childhood.
~Slowly progresses to polyneuropathy with distal weakness, wasting in legs, decreased DTRs.
What is this?
~Acute or subacute progressive polyradiculoneuropathy.
~Weakness is more severe than sensory disturbances.
~Acute dysautonomia may be life-threatening.
acute idiopathic polyneuropathy (Guillain-Barré)
What is the pathology of Guillain-Barré?
primary demyelination
What two diagnostic tests will you perform for suspected Guillain-Barré, and what will be the results if positive?
- LP - CSF with HIGH PROTEIN, normal cell count
2. nerve conduction studies - abnormal
Treatments for Guillain-Barré:
Name two things you will DO and one thing you will NOT DO.
YES: plasmapheresis, IVIG
NO: prednisone
