Transcription of Screening for Diabetic Peripheral Neuropathy - …
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Screening for Diabetic Peripheral Neuropathy - …
NEUROPATHYOCTOBER 2004I Diabetic MICROVASCULAR COMPLICATIONS TODAY I17 Diabetic Peripheral Neuropathy (DPN) is verycommon among patients with type 2 dia-betes and a pivotal component of foot dis-ease, therefore it is vital that physicians payclose attention to Screening . The objectives of screeninginclude identifying the risk of ulceration in order toavoid amputation, identifying early nerve injury, andevaluating areas for clinical International Neuropathy Guidelines define DPNas the presence of symptoms and/or signs of peripheralnerve dysfunction in people with diabetes after exclu-sion of other causes. Neuropathy can present with a lossof protective sensation, defined as a level of sensory losssufficient for a patient to injure himself or herself with-out recognizing the INSTRUMENTSMost Screening instruments for DPN are noninvasive,inexpensive, sensitive-specific and highly predictive ofclinical endpoints. To evaluate a patient for Neuropathy ,clinicians needs to ask patients about signs and symp-toms, perform a thorough physical exam, including deeptendon reflexes, motor strength and vibration; as well asperform diagnostic studies such as nerve conductionvelocities (NCV).
Neurotip device, and hot-cold rods. A score of 0 was normal and 1 was abnormal. The ankle reflex was scored 0 for normal, 1 for reinforcement and 2 for absent.
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