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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Assessment of radial pulse01:11

Assessment of radial pulse

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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
796

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Nerve Ultrasound Protocol to Detect Dysimmune Neuropathies
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A Practical Approach to Diagnosing Peripheral Neuropathies.

Nuri Jacoby1,2, Yaacov Anziska1

  • 1Department of Neurology, State University of New York Downstate Health Sciences University, Brooklyn, New York.

Seminars in Neurology
|October 21, 2024
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Summary
This summary is machine-generated.

This article provides a practical guide for diagnosing polyneuropathies, common in older adults. It outlines diagnostic strategies based on neuropathy subtype, aiding clinicians in determining the cause.

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Area of Science:

  • Neurology
  • Clinical Medicine

Background:

  • Polyneuropathies are prevalent, particularly in aging populations.
  • Diverse etiologies make diagnosing polyneuropathies challenging for clinicians.

Purpose of the Study:

  • To present a systematic and practical approach for diagnosing polyneuropathies.
  • To guide clinicians in determining the underlying causes of neuropathy.

Main Methods:

  • Emphasis on detailed patient history and physical examination as initial diagnostic steps.
  • Delineation of diagnostic workup strategies tailored to specific neuropathy subtypes.
  • Distinction between approaches for distal symmetric polyneuropathy and other subtypes.

Main Results:

  • A structured approach simplifies the diagnostic process for polyneuropathies.
  • Tailored diagnostic strategies improve etiological identification.
  • History and physical examination are crucial for initial workup.

Conclusions:

  • A systematic approach, starting with history and physical, is essential for diagnosing polyneuropathies.
  • Diagnostic workup should be adapted based on the clinical presentation of neuropathy subtypes.
  • Effective diagnosis relies on a practical, subtype-specific approach.