ACUTE AND CHRONIC NEUROPATHIES American College of Osteopathic Internists Internal Medicine Board Review Course 2018 April 25-29, 2018 Marriott Chicago Downtown Chicago, Illinois Scott Spradlin D.O. ,FACP,FACOI I have no relevant financial or nonfinancial relationships in the products or services described, reviewed, evaluated or compared in this presentation.
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Acute and Chronic Neuropathies and Chronic Neuropathies •Neuropathy- is defined as nerve disease/damage •20 million people suffer from some form of neuropathy •Can be acute or
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ACUTE AND CHRONIC NEUROPATHIES
American College of Osteopathic Internists Internal Medicine Board Review Course 2018April 25-29, 2018Marriott Chicago DowntownChicago, Illinois
Scott Spradlin D.O. ,FACP,FACOI
I have no relevant financial or nonfinancial relationships in the products or services described, reviewed, evaluated or compared in this presentation.
Acute and Chronic Neuropathies• Neuropathy- is defined as nerve disease/damage
• 20 million people suffer from some form of neuropathy
• Can be acute or chronic
• As you age the incidence is more
• Diabetic neuropathy is the most common neuropathy
• Most common neurological problem seen in a primary
care office
Acute and Chronic NeuropathiesPresenting Signs and Symptoms-
• Sensory-earliest symptom
• Numbness
• Pain,
• Anesthesia,
• Ataxia, loss of coordination,
• Temperature, vibratory sensation loss
• Motor-• Weakness,
• Atrophy,
• Fasciculation
• Areflexia
• Autonomic-• Dry mouth, Dry eyes,
• Bladder dysfunction,
• Orthostatic hypotension,
• Cold sensation , skin changes
Acute and Chronic Neuropathies
• Mononeuropathy
• one nerve with one point of impingement
• Mononeuropathy multiplex
• one nerve with multiple points impingement
• Polyneuropathy
• multiple nerves and multiple points impingement
Board Exam Sample
72-year-old man presents to your outpatient clinic with the
complaint of recurrent spells of hand numbness. On exam
he has weakness of finger spreading. He also has sensory
loss in the last two fingers splitting the ring finger. The most
likely etiology for his symptoms is
•A. Recurrent transient ischemic attacks (TIAs)
•B. C6 radiculopathy
•C. C7 radiculopathy
•D. Ulnar neuropathy
Board Exam Sample72-year-old man presents to your outpatient clinic with the
complaint of recurrent spells of hand numbness. On exam
he has weakness of finger spreading. He also has sensory
loss in the last two fingers splitting the ring finger. The most