Types and Symptoms of Diabetic Neuropathy
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Diabetic neuropathy, a typical side-effect of diabetic issues, is harm to the nerve fibres that allow you to feel emotions such as suffering.
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Complications of diabetes
The document discusses two common complications of diabetes: hypertension and neuropathy. It defines hypertension as blood pressure above 140/90 and explains that diabetes can lead to hypertension due to restricted blood flow causing the heart to work harder. Nearly half of all diabetics experience some form of neuropathy, which is nerve damage caused by restricted blood flow or high blood glucose levels. Peripheral neuropathy, which affects the hands and feet, is one common type and can cause tingling, burning, pain, ulcers and numbness. Managing both complications involves maintaining healthy blood glucose and blood pressure levels through diet, exercise, and medication if needed.
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This document provides an overview of approaching a patient with peripheral neuropathy. It discusses:
- The global burden of peripheral neuropathy, with diabetes being a leading cause.
- The basic anatomy of peripheral nerves and pathogenic mechanisms of nerve damage, including segmental degeneration, Wallerian degeneration, and axonal degeneration.
- Key questions to ask patients regarding the systems involved, duration and nature of symptoms, evidence of upper motor involvement, temporal evolution, potential hereditary causes, and other medical conditions.
- Types of neuropathy classified by pattern of involvement, clinical course, and other factors to help differentiate diagnoses.
Approach to peripheral neuropathy
This document discusses peripheral neuropathy and provides guidance on evaluating and diagnosing peripheral nerve disorders. It defines peripheral neuropathy as disorders affecting the peripheral nervous system, which can involve sensory nerves, motor nerves, or both. The document outlines that peripheral neuropathies can be classified based on whether they primarily affect the cell body, myelin, or axon. It also lists common causes of peripheral neuropathy like diabetes, paraproteinemia, alcohol misuse, and vitamin B12 deficiency. The document provides guidance on clinical assessment, laboratory and electrodiagnostic testing, skin or nerve biopsy, and treatment approaches for peripheral neuropathy.
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The document discusses various types of neuropathies and myopathies. It lists 7 types of neuropathies including inflammatory, infectious, hereditary, acquired, toxic/metabolic, traumatic, and neoplastic neuropathies. It also lists 9 types of myopathies including denervation, dystrophies, ion channel, congenital, genetic, metabolic, inflammatory, toxic, and neuro muscular junction myopathies. For each type, it provides brief descriptions and examples.
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This document provides an overview of approaching peripheral nerve disease. It discusses taking a history and examining patients to identify signs that implicate peripheral nerve involvement. Electrodiagnostic studies are used to help diagnose and differentiate between neuropathies. Symptoms, signs, distribution patterns, temporal evolution, relevant history, examination findings, modalities of sensation loss, fiber involvement, autonomic symptoms, and other findings are described. Investigations including electrodiagnosis, nerve conduction studies, electromyography and findings that indicate axonal vs demyelinating neuropathies are also summarized.
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This document provides an overview of peripheral neuropathy, including:
1. It describes the anatomy of peripheral nerves and different types of peripheral neuropathies such as mononeuropathy, mononeuropathy multiplex, polyneuropathy, polyradiculopathy, and plexopathy.
2. It outlines the various clinical presentations of peripheral neuropathy including sensory, motor, and autonomic symptoms as well as patterns of nerve fiber involvement.
3. It discusses the etiology, clinical course, investigations and management of different peripheral neuropathies.
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This document provides an overview of approaching a patient with peripheral neuropathy. It discusses:
- The global burden of peripheral neuropathy, with diabetes being a leading cause.
- The basic anatomy of peripheral nerves and pathogenic mechanisms of nerve damage, including segmental degeneration, Wallerian degeneration, and axonal degeneration.
- Key questions to ask patients regarding the systems involved, duration and nature of symptoms, evidence of upper motor involvement, temporal evolution, potential hereditary causes, and other medical conditions.
- Types of neuropathy classified by pattern of involvement, clinical course, and other factors to help differentiate diagnoses.
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This document discusses peripheral neuropathy and provides guidance on evaluating and diagnosing peripheral nerve disorders. It defines peripheral neuropathy as disorders affecting the peripheral nervous system, which can involve sensory nerves, motor nerves, or both. The document outlines that peripheral neuropathies can be classified based on whether they primarily affect the cell body, myelin, or axon. It also lists common causes of peripheral neuropathy like diabetes, paraproteinemia, alcohol misuse, and vitamin B12 deficiency. The document provides guidance on clinical assessment, laboratory and electrodiagnostic testing, skin or nerve biopsy, and treatment approaches for peripheral neuropathy.
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The document discusses various types of neuropathies and myopathies. It lists 7 types of neuropathies including inflammatory, infectious, hereditary, acquired, toxic/metabolic, traumatic, and neoplastic neuropathies. It also lists 9 types of myopathies including denervation, dystrophies, ion channel, congenital, genetic, metabolic, inflammatory, toxic, and neuro muscular junction myopathies. For each type, it provides brief descriptions and examples.
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This document provides an overview of approaching peripheral nerve disease. It discusses taking a history and examining patients to identify signs that implicate peripheral nerve involvement. Electrodiagnostic studies are used to help diagnose and differentiate between neuropathies. Symptoms, signs, distribution patterns, temporal evolution, relevant history, examination findings, modalities of sensation loss, fiber involvement, autonomic symptoms, and other findings are described. Investigations including electrodiagnosis, nerve conduction studies, electromyography and findings that indicate axonal vs demyelinating neuropathies are also summarized.
Approach to Peripheral Neuropathy
This document provides an overview of peripheral neuropathy, including:
1. It describes the anatomy of peripheral nerves and different types of peripheral neuropathies such as mononeuropathy, mononeuropathy multiplex, polyneuropathy, polyradiculopathy, and plexopathy.
2. It outlines the various clinical presentations of peripheral neuropathy including sensory, motor, and autonomic symptoms as well as patterns of nerve fiber involvement.
3. It discusses the etiology, clinical course, investigations and management of different peripheral neuropathies.
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This document discusses polymyalgia rheumatica (PMR), a clinical syndrome characterized by severe aching and stiffness in the neck, shoulder, and pelvic areas. It affects people over age 50, especially whites and females. Symptoms include morning stiffness and pain in proximal muscles that is worse with inactivity. Treatment involves corticosteroids like prednisone to reduce inflammation over 2-4 years as the average length of the disease is 3 years and relapses are common if steroids are tapered too quickly.
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- 2. Diabetic neuropathy is a damage that affects the peripheral nerves of the body. The damage is specifically to the nerves of the ganglia, outside of the skull, the spinal cord, and some other nerves that aid the body in assisting fundamental organs, such as the heart, bladder, intestines, and stomach.
- 3. Diabetic Peripheral Neuropathy Diabetic Autonomic Neuropathy Diabetic Proximal Neuropathy Diabetic Focal Neuropathy
- 4. Increased urination Unusual weight loss or gain Vomiting Dry mouth Slow-healing sores Itching skin Common warning signs of diabetes include: