Obj. 19 - Neuropathies - LL Flashcards
(18 cards)
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
T/F. Administration of the live zoster vaccine will reduce the incidence of postherpetic neuralgia.
FALSE :(
Who gets meralgia paresthetica?
Obese or Diabetics who get pregnant
What is the clinical presentation of meralgia paresthetica?
unilateral pain or numbness on the outer aspect of the thigh and is RELIEVED BY SITTING
