Peripheral Neuropathy Aids Treatment

HIV Neuropathy Screening Exam with Grading Reflexes

These are the instructions for evaluating perceptionof vibration. Use a 128 hertz tuning fork. SOUND Hit the tuning fork hardenough so that the sides touch. And make sure that the subjectknows the type of sensation. Do you feel this asa vibration or a buzzing? gt;gt; Vibration. gt;gt; As a vibration, very good.

Now repeat the procedurein the feet. Again, strike the tuningfork hard enough so that the sides touch andimmediately put the tuning fork on the distalinterphalangeal joint. Count the number of seconds. Ask the subject to tell youwhen the vibration stops. gt;gt; Now. gt;gt; It stopped now?

Good. And repeat the procedureto the opposite side. Again, the tuning fork goeson the distal interphalangeal joint. Make sure you strikethe tuning fork hard enough so that the sides touch. For evaluating deeptendon reflexes, with the subject seated,examiner should use the hand

to gently dorsiflex the footat about 90 degrees. Press upwards slightlyon the sole of the foot. Use a reflex hammer, preferablya longhandled reflex hammer. A tomahawk hammeris also acceptable. And strike the Achillestendon just behind the heel. Contraction of the gastrocnemiusmuscle will be both seen and felt. Repeat the procedurewith the opposite leg.

Have to do now is showthe discrepancy between the knee reflex and the ankle reflex. Many patients with HIVdisease have both central and peripheral nervoussystem disease. So one may see a mix ofhyperreflexia at the knee and reduced reflexes,or hyporeflexia or areflexia at the ankles. So now we'll attemptto demonstrate this.

So here first for the patellareflex, the knee reflex, this would be graded as a 3plus, there is hyperrefelxia and spread of the reflexto other muscles. In the same patient,ankle reflexes are reduced significantly outof proportion to knee reflexes. So these are the differentgradings for ankle reflexes. Absent means that with a strongpercussion of the Achilles tendon, there is no contractionof the gastrocnemius.

Seeing Pain New approach to diagnosing and treating nerve damage Chris McCurdy TEDxUM

When I was a young childI lost my favorite uncle to alcohol abuse. It made me wonder why does this happen? How can someone be consumed by a substance that's around us all the time? So, I made it my life's missionto become a ug expert, and I went to pharmacy school. I went to pharmacy schoolto understand what it is about ugs

that can make us heal or can hurt us. When I waspharmacy school, I found out I felllovewith the research. Not only did I falllovewith the research I felllove with this passionto edue others. And so, knowing that,I had to move forward. I had to move forward with my eduion so that I could carry those thingsout of my future;

and I went on and earned a atein medicinal chemistry; that's ug design not designer ugs. (Laughter) That enabled me to move forward and really pursue some of the basisof ug abuse and addiction. Here I am now, a professorof medicinal chemistry and pharmacology. And I've dedied my careerto solving problemsug abuse and actually findingbetter pain mediions

because after all, painis the most common reason that individuals seek medical care. It's also the most common reason that we end upwith ug abuse and addiction. Moving from there, I've been ableto establish a laboratory here, at the University of Mississippi, where we've done a lotof groundbreaking work that I'll get toa little bit to move us forwardthose endeavors.

Now, how many people here have had to seek medical treatment that resultedpain prescription? Yes, most all of us. How many of you ended up getting something like morphine, or codeine,or Hyocodone, or Oxycontin? Yeah. Any of you had to take that for more than 2 or 3 weeks,maybe a month, maybe a couple?

If so, there's a high likelihoodyour body became physically dependent. So why does that mean? What do we mean when we talkabout physical dependence and ug abuse? Let's define these thingsa little more clearly. So ug abuse is simply the concept that you take a ug out of the contextthat it was prescribed. So, every now and then,all of us are guilty of taking a little more ibuprofen,or something, than it says on the bottle.

Category: Peripheral Neuropathy

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