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Thread: Neurology 5

  1. #1
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    Neurology 5

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    You have a 54 year old dude, that is diabetic and now he s complaining of burning and ache sensation in both feet, you find in your PE(physical examination) low proprioception in both feet.

    What is the best test to DX this patient condition?

    A-Blood sugar
    B- T3,T4
    C- Electromyography and conduction studies
    D-Evoked potentials
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

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    navpreet is offline Member 510 points
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    electromyography & nerve conduction study........??

    do tell me the right answer ,i m not sure.


    thanks.

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    st_55 is offline Member 510 points
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    is it c or a? i remember seeing something like this on uw and they said you should check blood sugar...I dont know img where are you? please give us the answer oh wise one study hard guys

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    fox-glove is offline Newbie 510 points
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    Hi guys,
    I think we will do option c. no need to do blood sugar as he is already diagnosed as diabetic, If we needed to check the longterm sugar control we would had done HbA1c since that is not a choice we will move to different option and T3 T4 I will not do since it is a localized situation not generalized myopathy or neuropathy. It think it is diabetic peripheral neuropathy and we could do elecmyography and conduction studies out of the d and c options. Let me know if I am wrong please?

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    Water's Avatar
    Water is offline Member 519 points
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    A is a distractor because if the patient has hypoglycemia, then the other symptoms would stand out.
    B is incorrect because T3 does not go that far.
    C There is no complaint of muscle problem or decreased conduction problem.
    I have no idea what evoked potentials is, but I think that is the answer. What do you think?
    Also, this sounds like a spinal cord problem because it is bilateral and it involves the gracilus and spinothalamic area. This may be vitamin b12 neuropathy.
    Last edited by Water; 09-08-2007 at 08:12 PM.

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    st_55 is offline Member 510 points
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    i think what they are trying to get at is that the patient has diabetic neuropathy.

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    navpreet is offline Member 510 points
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    answer.........?

    hey IMG SURVIVOR , can u please post the answer to this question...??

    thanks.

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