A 60-year-old retired seamstress comes to the office reporting decreased sensation in her hands and feet. She states that she began to have the problems in her feet 1 year ago but now it has started in her hands also. She also complains of some weakness in her grip. She has had no recent illnesses or injuries. Her past medical history consists of having type 2 diabetes for 20 years. She now takes insulin and oral medications for her diabetes. She has been married for 40 years. She has two healthy children. Her mother has Alzheimer's disease and coronary artery disease. Her father died of a stroke and also had diabetes. She denies any tobacco, alcohol, or drug use. On examination she has decreased deep tendon reflexes in the patellar and Achilles tendons. She has decreased sensation of fine touch, pressure, and vibration on both feet. She has decreased two-point discrimination on her hands. Her grip strength and her plantar and dorsiflexion strength are decreased. Where is the disorder of the peripheral nervous system in this client

Answer:

Peripheral polyneuropathy

Explanation:

With peripheral polyneuropathy there will be distal extremity symptoms before proximal symptoms. There will be weakness and atrophy and decreased sensory sensations. There is often the classic glove-stocking distribution pattern of the lower legs and hands. Causes include diabetic neuropathy, as in this case, alcoholism, and vitamin deficiencies

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Dissect the medical terms into their word parts. Identify the word part types (prefix, suffix, combining form), and write their meanings. Also write the meaning of the whole term.


1. pancreatic

2. espophagus

3. appendicitis

4. appendectomy

5. peritonitis

6. cholecystitis

7. esophagogastroduodenoscopy

How many of the 5 muscles are on the medial side of the lower leg?

Wanda's dog eat 35 pounds of dog food each week. At this rate, how many pounds of dog food they eat in 12 days

which of the following is true about conflict?
A. conflict can sometimes occur for no reason at all
B. Conflict is inevitable
C. Conflict can be avoided in any situation
D. Conflict can rarely be prevented by critical thinking

a painful deadly ling disease associated with marijuana​

What structure in skeletal muscle cells functions in calcium storage?
options;

a. myofibrillar network
b. mitochondria
c. sarcoplasmic reticulum
d. intermediate filament network

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