The Clinical Problem Solvers Episode 380: Schema Episode – Neuropathy
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Feb 21, 2025 This episode features Sharmin, who presents a compelling case study on neuropathy and its link to frequent falls, driving the conversation among Maddy, Youssef, and Andrew. They delve into the complexities of neurological data, analyzing lab results and imaging. The hosts also reflect on a patient’s progressive paresthesia and what it reveals about diagnosis. Additionally, they discuss the critical role of vitamin B12 deficiency in neurological health and its implications, making for an engaging exploration of clinical challenges.
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Approach to Falls
- When evaluating a patient with frequent falls, consider the cause and consequences of the falls.
- Ask if there was a loss of consciousness to rule out seizures, syncope, or hypoglycemia.
Falls as Opposite of Walking
- Falls can be conceptualized as the opposite of walking, involving sensory input, coordination, and motor output.
- Frequent falls often involve multiple contributing factors, such as vision problems or deconditioning.
Neuropathy Framework
- Categorize neuropathy by time course (acute, subacute, chronic) and localization (sensory, motor, sensory-motor).
- Consider mononeuropathy, mononeuritis multiplex, and polyneuropathy as general categories.