The Rational Clinical Examination
David L. Simel, Drummond Rennie
Diabetic Peripheral Neuropathy
Jamil N. Kanji, Rebecca E. S. Anglin, Dereck L. Hunt, MD, Akbar Panju
Clinical Scenarios, Why Is This Question Important?, Clinical Evaluation for Diabetic LFPN, Methods, Results, Limitations of the Literature, Scenario Resolution, Clinical Bottom Line, References
complications of diabetes mellitus, diabetes mellitus, diabetic neuropathy, diabetic peripheral angiopathy, peripheral neuropathy
"In the cases below, the clinician would like to know if the following
patients with diabetes may have large-fiber peripheral neuropathy
(LFPN).A 59-year-old woman with type 2 diabetes admits that she rarely
checks her blood glucose level and is not careful with her diet.
She denies any numbness or tingling in her feet, but on routine examination
she cannot feel a Semmes-Weinstein monofilament...."
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