Pre PACES Podcast #106 Peripheral neuropathy
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Feb 2, 2025 Dr. Shadi El-Wahsh, a consultant neurologist from Sydney, dives into peripheral neuropathy, an essential topic for medical exams. He introduces a brilliant mnemonic that simplifies the diverse causes of neuropathy. The discussion covers the importance of gait assessments and coordination techniques in diagnosing neurological conditions. Practical tips for sensory exams and effective history-taking are shared, enhancing candidates' understanding. The conversation also highlights structured diagnostic approaches and management strategies for neuropathic pain.
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Gait Examination
- If the vignette mentions an unusual gait, examine it first.
- Recognize an abnormal gait; it's crucial for lower limb exams.
Gait Clues
- Observing a patient's gait offers immediate clues about underlying issues, sometimes before they speak.
- Focus on one gait aspect at a time: broad-based, high-stepping, foot slapping, waddling.
Gait Assessment Practice
- Practice gait assessments with two gait aspects in each direction to cover all four.
- Perform Romberg's test only if the patient is steady with eyes open and feet together.