Diabetic neuropathy physical examination: Difference between revisions

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==Overview==
==Overview==
==Physical Examination==
==Physical Examination==
A study by the International Cooperative Group for Clinical Examination Research found that the monofilament and reflex testing were the most reproducible<ref name="pmid10417599">{{cite journal| author=Smieja M, Hunt DL, Edelman D, Etchells E, Cornuz J, Simel DL| title=Clinical examination for the detection of protective sensation in the feet of diabetic patients. International Cooperative Group for Clinical Examination Research. | journal=J Gen Intern Med | year= 1999 | volume= 14 | issue= 7 | pages= 418-24 | pmid=10417599 | doi=10.1046/j.1525-1497.1999.05208.x | pmc=1496604 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10417599  }} </ref>. This study also found that monofilament testing of four locations per foot was adequate.
A systematic review by the [https://jamanetwork.com/collections/6257/the-rational-clinical-examination Rational Clinical Examination] found that "Abnormal results on monofilament testing and vibratory perception (alone or in combination with the appearance of the feet, ulceration, and ankle reflexes) are the most helpful signs"<ref name="pmid20407062">{{cite journal| author=Kanji JN, Anglin RE, Hunt DL, Panju A| title=Does this patient with diabetes have large-fiber peripheral neuropathy? | journal=JAMA | year= 2010 | volume= 303 | issue= 15 | pages= 1526-32 | pmid=20407062 | doi=10.1001/jama.2010.428 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20407062  }}  [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=20956694 Review in: Ann Intern Med. 2010 Oct 19;153(8):JC4-10] </ref>.
===Images===
(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)
(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)


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[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Diabetes]]
[[Category:Needs Overview]]
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Needs content]]
[[Category:Needs content]]

Latest revision as of 00:38, 30 November 2021

Diabetic neuropathy Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diabetic neuropathy from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diabetic neuropathy physical examination On the Web

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Risk calculators and risk factors for Diabetic neuropathy physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Physical Examination

A study by the International Cooperative Group for Clinical Examination Research found that the monofilament and reflex testing were the most reproducible[1]. This study also found that monofilament testing of four locations per foot was adequate.

A systematic review by the Rational Clinical Examination found that "Abnormal results on monofilament testing and vibratory perception (alone or in combination with the appearance of the feet, ulceration, and ankle reflexes) are the most helpful signs"[2].

Images

(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)

References

  1. Smieja M, Hunt DL, Edelman D, Etchells E, Cornuz J, Simel DL (1999). "Clinical examination for the detection of protective sensation in the feet of diabetic patients. International Cooperative Group for Clinical Examination Research". J Gen Intern Med. 14 (7): 418–24. doi:10.1046/j.1525-1497.1999.05208.x. PMC 1496604. PMID 10417599.
  2. Kanji JN, Anglin RE, Hunt DL, Panju A (2010). "Does this patient with diabetes have large-fiber peripheral neuropathy?". JAMA. 303 (15): 1526–32. doi:10.1001/jama.2010.428. PMID 20407062. Review in: Ann Intern Med. 2010 Oct 19;153(8):JC4-10

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