Diabetic Neuropathy: Autonomic Neuropathy – Diabetes Complications

by Carlo Raj, MD

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    Let’s go to the third N, other complications of diabetes mellitus. This then brings us to neuropathy. Couple of things that you want to keep in mind. The neuropathy along with the peripheral vascular disease, meaning to say microangiopathy, so things that you want to pay attention to for sure before you address any type of attending or patient or board is, is there diabetic retinopathy manifesting, is there diabetic nephropathy taking place, diabetic neuropathy and diabetic microangiopathy? Put these together, the neuropathy and microangiopathy, put them together and the reason for that is, let’s say what areas of the body are you always worried about or what concerns you with a diabetic? It is the decubitus areas, isn’t it? The decubitus areas, meaning to say the areas of the body where the patient is quite dependent maybe, well, well, I am doing quite a bit of standing. So, therefore, my dependent area would be my… the soles of my feet, the bottom of my feet. If there is a diabetic who is undergoing surgery, then please understand that if your patient is bedridden, that the dependent areas in that patient would be maybe perhaps the back of that patient, right, or maybe the buttocks. Are we clear? In those areas because the dependent already dependent, meaning to say that you are-you are causing stress because of sheer gravity that there might be decreased blood supply along with that in the diabetic patient, there is decreased blood supply due to peripheral vascular disease. Now, when there is decrease of blood supply taking place to that area in the skin, hmm, what may then happen? Necrosis is setting in, wow, and can the patient feel the pain? No. Why? Because of neuropathy, the nerves have been damaged. With all that said,...

    About the Lecture

    The lecture Diabetic Neuropathy: Autonomic Neuropathy – Diabetes Complications by Carlo Raj, MD is from the course Pancreatic Disease & Diabetes.

    Included Quiz Questions

    1. It is often treated with anti-psychotics
    2. It is the most common diabetic complication
    3. It is often asymptomatic
    4. It increases chance of foot ulcers
    5. It is likely to occur in decubital areas
    1. Resting tachycardia
    2. Increased systolic blood pressure
    3. Holosystolic murmur
    4. Malignant hypertension
    5. Increased cardiac output
    1. Myocardial infarction without classic presenting symptoms
    2. Aortic valve stenosis
    3. Right heart failure
    4. Wolf-Parkinson-White syndrome
    5. Atrial fibrillation
    1. Vagus nerve
    2. Glossopharyngeal nerve
    3. Lesser Splanchnic nerve
    4. CN IX
    5. CN XII
    1. MI
    2. Gastroparesis
    3. Erectile Dysfunction
    4. Retinopathy
    5. Nephropathy

    Author of lecture Diabetic Neuropathy: Autonomic Neuropathy – Diabetes Complications

     Carlo Raj, MD

    Carlo Raj, MD

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