Diabetic neuropathy – Diagnosis
Diabetic peripheral neuropathy is the most likely diagnosis for someone with diabetes who has pain in a leg or foot, although it may also be caused by vitamin B12 deficiency or osteoarthritis. A recent review in the Journal of the American Medical Association's "Rational Clinical Examination.
Diabetic peripheral neuropathy is the most likely diagnosis for someone with diabetes who has pain in a leg or foot, although it may also be caused by vitamin B12 deficiency or osteoarthritis. A recent review in the Journal of the American Medical Association's "Rational Clinical Examination Series" evaluated the usefulness of the clinical examination in diagnosing diabetic peripheral neuropathy. While the physician typically assesses the appearance of the feet, presence of ulceration, and ankle reflexes, the most useful physical examination findings for large fiber neuropathy are an abnormally decreased vibration perception to a 128-Hz tuning fork (likelihood ratio (LR) range, 16-35) or pressure sensation with a 5.07 Semmes-Weinstein monofilament (LR range, 11-16). Normal results on vibration testing (LR range, 0.33-0.51) or monofilament (LR range, 0.09-0.54) make large fiber peripheral neuropathy from diabetes less likely. Combinations of signs do not perform better than these 2 individual findings. Nerve conduction tests may show reduced functioning of the peripheral nerves, but seldom correlate with the severity of diabetic peripheral neuropathy and are not appropriate as routine tests for the condition.
Adapted from the Wikipedia article Diabetic neuropathy, under the G. N. U. Free Documentation License. Please also see http://en.wikipedia.org/wiki
If you enjoyed this article, please consider sharing it!
Related Articles
The syndrome typically presents as a progressive flaccid symmetric paralysis with areflexia, often causing respiratory failure. Electromyographic stud...
There is a large differential for polyneuropathies: vitamin deficiency, cancer, toxins, infections (ex. Guillain-Barré Syndrome, Lyme Disease),...
Diagnosis of BFS is a “diagnosis of exclusion,” in other words, other likely causes for the twitching (mostly forms of neuropathy, such as...
Peripheral neuropathy may be classified according to the number of nerves affected or the type of nerve cell affected (motor, sensory, autonomic), or ...
In the medical dictionary, the term Neuropathy means any kind of nerve disorders. One of the common forms of Juvenile Diabetes Complications, Diabetic...Related Articles
Diagnosis of BFS is a “diagnosis of exclusion,” in other words, other likely causes for the twitching (mostly forms of neuropathy, such as...
A large number of conditions may cause symptoms and signs similar to diabetic myonecrosis and include: deep vein thrombosis, thrombophlebitis, celluli...
By: prenoyyonerp For some people, managing blood glucose levels will slow down or even prevent further diabetic peripheral neuropathy. However, it is ...In the medical dictionary, the term Neuropathy means any kind of nerve disorders. One of the common forms of Juvenile Diabetes Complications, Diabetic...
At the conclusion of this article, the reader will be able to:
1. Discuss the extent and seriousness of diabetes mellitus in the United States,
2. U...Related Videos
www.fizyoterapistim.net...
The MURDOCK Study: Osteoarthritis...
For Elaine, "your brian is the best painkiller you've got." She talks about her experience of Osteoarthritis and how she manages the condition....