Peripheral Neuropathies

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Introduction

Mononeuropathy (focal, entrapment, compression)

carpal tunnel syndrome is most common (median neuropathy at the wrist)

radial neuropathy at the humeral groove can cause wrist drop

thoracic outlet syndrome

peroneal neuropathy at the fibular head

 

Evaluating mononeuropathy

Carpal Tunnel Syndrome

sensory symptoms

 

Polyneuropathy (diffuse, distal, symmetric snensorimotor neuropathy)

 

common symptoms:

patterns of manifestations

 

differential diagnosis

100's of different causes

inherited vs acquired

acute vs chronic

demyelinating vs axonal

axonal degeneration is involved in most polyneuropathies, including:

 

Medication Induced Neuropathy

 

Bloodwork

 

Mononeuritis Multiplex

investigate with:

treat with steriods, immunosuppression (ie cyclophosphamide)

 

 

 

 

The Case of...

a simple case introducing clincial presentation and calling for a differential diagnosis. To get students thinking.

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Causes and Risk Factors

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Pathophysiology

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Signs and Symptoms

 

  • history
  • physical exam

History

 

Physical Exam

 

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Investigations

  • lab investigations
  • diagnostic imaging

Lab Investigations

Diagnostic Imaging

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Differential Diagnosis

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Treatments

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Consequences and Course

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The Case of...

Case #2 - a small story wrapping it all up and asking about esp management.

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Additional Resources

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Topic Development

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