Obj. 19 - Neuropathies - LL Flashcards
What is a very common metabolic disease that can cause peripheral neuropathy?
Diabetes!
Neuropathic, burning pain may respond to simple analgesics (ASA, NSAIDs), but may require which medication?
Gabapentin
Does Guillain-Barre result in demyelination of MOTOR or SENSORY nerves?
MOTOR
Describe the weakness (since it’s motor) onset of GBS:
ABRUPT ASCENDING SYMMETRICAL weakness. Starts distally and climbs up.
GBS is usually preceded by what kinds of viral infections?
GI or URI
What is a potential emergency of GBS?
Respiratory Arrest if it involves the diaphragm!
What do we see elevated in a CSF analysis of GBS?
PROTEIN
How do we treat GBS?
Monitor respirations, then IV IG
T/F. Steroids are contraindicated in GBS.
TRUE!
Does Charcot-Marie-Tooth Disease affect your teeth?
No, but it sounds like it should right?
What is the clinical presentation of Charcot-Marie-Tooth?
Foot deformities or gait disturbances in childhood or early adult life –> later will present with typical polyneuropathy symptoms too
What percentage of patients with shingles will develop post-herpetic neuralgia?
15%
Would you expect a patient to complain of Bilateral or unilateral pain if they had post-herpetic neuralgia?
unilateral, follows the same dermatomal pattern where they had initial herpes infection
What 2 demographics are more likely to develop post-herpetic neuralgia after shingles?
immunocompromised and elderly
If simple analgesics fail to control post-herpetic neuralgia pain, what class of medications could you try?
anti-depressent (TCA)
or carbamazepine, phenytoin, or gabapentin, topical capsaicin cream
