Obj. 19 - Neuropathies - LL Flashcards Preview

CLIN MED - Neuro - Ashley Sarah Lauren > Obj. 19 - Neuropathies - LL > Flashcards

Flashcards in Obj. 19 - Neuropathies - LL Deck (18)
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1
Q

What is a very common metabolic disease that can cause peripheral neuropathy?

A

Diabetes!

2
Q

Neuropathic, burning pain may respond to simple analgesics (ASA, NSAIDs), but may require which medication?

A

Gabapentin

3
Q

Does Guillain-Barre result in demyelination of MOTOR or SENSORY nerves?

A

MOTOR

4
Q

Describe the weakness (since it’s motor) onset of GBS:

A

ABRUPT ASCENDING SYMMETRICAL weakness. Starts distally and climbs up.

5
Q

GBS is usually preceded by what kinds of viral infections?

A

GI or URI

6
Q

What is a potential emergency of GBS?

A

Respiratory Arrest if it involves the diaphragm!

7
Q

What do we see elevated in a CSF analysis of GBS?

A

PROTEIN

8
Q

How do we treat GBS?

A

Monitor respirations, then IV IG

9
Q

T/F. Steroids are contraindicated in GBS.

A

TRUE!

10
Q

Does Charcot-Marie-Tooth Disease affect your teeth?

A

No, but it sounds like it should right?

11
Q

What is the clinical presentation of Charcot-Marie-Tooth?

A

Foot deformities or gait disturbances in childhood or early adult life –> later will present with typical polyneuropathy symptoms too

12
Q

What percentage of patients with shingles will develop post-herpetic neuralgia?

A

15%

13
Q

Would you expect a patient to complain of Bilateral or unilateral pain if they had post-herpetic neuralgia?

A

unilateral, follows the same dermatomal pattern where they had initial herpes infection

14
Q

What 2 demographics are more likely to develop post-herpetic neuralgia after shingles?

A

immunocompromised and elderly

15
Q

If simple analgesics fail to control post-herpetic neuralgia pain, what class of medications could you try?

A

anti-depressent (TCA)

or carbamazepine, phenytoin, or gabapentin, topical capsaicin cream

16
Q

T/F. Administration of the live zoster vaccine will reduce the incidence of postherpetic neuralgia.

A

FALSE :(

17
Q

Who gets meralgia paresthetica?

A

Obese or Diabetics who get pregnant

18
Q

What is the clinical presentation of meralgia paresthetica?

A

unilateral pain or numbness on the outer aspect of the thigh and is RELIEVED BY SITTING