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    How to work up a patient with polyneuropathy?

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    Authors
    Renganathan, R
    Atkinson, A
    McNamara, B
    Affiliation
    Department of Neurophysiology, Cork University Hospital, Wilton, Cork. howrurenga@yahoo.com
    Issue Date
    2009-01
    MeSH
    Algorithms
    Diabetic Neuropathies
    Female
    Guillain-Barre Syndrome
    Humans
    Male
    Middle Aged
    Neural Conduction
    Neurologic Examination
    Polyneuropathies
    Referral and Consultation
    Retrospective Studies
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    Citation
    How to work up a patient with polyneuropathy? 2009, 102 (1):21-3 Ir Med J
    Journal
    Irish medical journal
    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
    ISSN
    0332-3102
    Collections
    Cork University Hospital

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