How to work up a patient with polyneuropathy?

Hdl Handle:
http://hdl.handle.net/10147/200981
Title:
How to work up a patient with polyneuropathy?
Authors:
Renganathan, R; Atkinson, A; McNamara, B
Affiliation:
Department of Neurophysiology, Cork University Hospital, Wilton, Cork. howrurenga@yahoo.com
Citation:
How to work up a patient with polyneuropathy? 2009, 102 (1):21-3 Ir Med J
Journal:
Irish medical journal
Issue Date:
Jan-2009
URI:
http://hdl.handle.net/10147/200981
PubMed ID:
19284014
Abstract:
Undiagnosed and untreated neuropathy may lead to disability and poor quality of life. Ordering every possible test to find the cause of polyneuropathy can waste time and resources. In this study, we investigated what could be used as a routine neuropathy screen. A retrospective audit of all charts of patients diagnosed to have polyneuropathy by nerve conduction studies from November 2001 to November 2002 were carried out. Demographics, background history, type of neuropathy and investigations done were documented. The charts of 61 patients were audited. 12 patients had a background history of diabetes mellitus. 2 patients had history of alcohol abuse. 23 patients presented with paraesthesia and 33 with weakness of limbs. We found a cause of polyneuropathy in 79% of cases. In most patients with polyneuropathy where a cause can be identified, this can be achieved by the medical history, neurological examination, nerve conduction studies and the baseline blood tests. We suggest a 3-step approach to the diagnostic workup of polyneuropathy.
Item Type:
Article
Language:
en
Description:
Undiagnosed and untreated neuropathy may lead to disability and poor quality of life. Ordering every possible test to find the cause of polyneuropathy can waste time and resources. In this study, we investigated what could be used as a routine neuropathy screen. A retrospective audit of all charts of patients diagnosed to have polyneuropathy by nerve conduction studies from November 2001 to November 2002 were carried out. Demographics, background history, type of neuropathy and investigations done were documented. The charts of 61 patients were audited. 12 patients had a background history of diabetes mellitus. 2 patients had history of alcohol abuse. 23 patients presented with paraesthesia and 33 with weakness of limbs. We found a cause of polyneuropathy in 79% of cases. In most patients with polyneuropathy where a cause can be identified, this can be achieved by the medical history, neurological examination, nerve conduction studies and the baseline blood tests. We suggest a 3-step approach to the diagnostic workup of polyneuropathy.
MeSH:
Algorithms; Diabetic Neuropathies; Female; Guillain-Barre Syndrome; Humans; Male; Middle Aged; Neural Conduction; Neurologic Examination; Polyneuropathies; Referral and Consultation; Retrospective Studies
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorRenganathan, Ren
dc.contributor.authorAtkinson, Aen
dc.contributor.authorMcNamara, Ben
dc.date.accessioned2012-01-09T16:37:14Z-
dc.date.available2012-01-09T16:37:14Z-
dc.date.issued2009-01-
dc.identifier.citationHow to work up a patient with polyneuropathy? 2009, 102 (1):21-3 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid19284014-
dc.identifier.urihttp://hdl.handle.net/10147/200981-
dc.descriptionUndiagnosed and untreated neuropathy may lead to disability and poor quality of life. Ordering every possible test to find the cause of polyneuropathy can waste time and resources. In this study, we investigated what could be used as a routine neuropathy screen. A retrospective audit of all charts of patients diagnosed to have polyneuropathy by nerve conduction studies from November 2001 to November 2002 were carried out. Demographics, background history, type of neuropathy and investigations done were documented. The charts of 61 patients were audited. 12 patients had a background history of diabetes mellitus. 2 patients had history of alcohol abuse. 23 patients presented with paraesthesia and 33 with weakness of limbs. We found a cause of polyneuropathy in 79% of cases. In most patients with polyneuropathy where a cause can be identified, this can be achieved by the medical history, neurological examination, nerve conduction studies and the baseline blood tests. We suggest a 3-step approach to the diagnostic workup of polyneuropathy.en
dc.description.abstractUndiagnosed and untreated neuropathy may lead to disability and poor quality of life. Ordering every possible test to find the cause of polyneuropathy can waste time and resources. In this study, we investigated what could be used as a routine neuropathy screen. A retrospective audit of all charts of patients diagnosed to have polyneuropathy by nerve conduction studies from November 2001 to November 2002 were carried out. Demographics, background history, type of neuropathy and investigations done were documented. The charts of 61 patients were audited. 12 patients had a background history of diabetes mellitus. 2 patients had history of alcohol abuse. 23 patients presented with paraesthesia and 33 with weakness of limbs. We found a cause of polyneuropathy in 79% of cases. In most patients with polyneuropathy where a cause can be identified, this can be achieved by the medical history, neurological examination, nerve conduction studies and the baseline blood tests. We suggest a 3-step approach to the diagnostic workup of polyneuropathy.-
dc.language.isoenen
dc.subject.meshAlgorithms-
dc.subject.meshDiabetic Neuropathies-
dc.subject.meshFemale-
dc.subject.meshGuillain-Barre Syndrome-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNeural Conduction-
dc.subject.meshNeurologic Examination-
dc.subject.meshPolyneuropathies-
dc.subject.meshReferral and Consultation-
dc.subject.meshRetrospective Studies-
dc.titleHow to work up a patient with polyneuropathy?en
dc.typeArticleen
dc.contributor.departmentDepartment of Neurophysiology, Cork University Hospital, Wilton, Cork. howrurenga@yahoo.comen
dc.identifier.journalIrish medical journalen
dc.description.provinceMunster-

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