Peripheral Neuropathy Caused By Metronidazole

Small Fiber Neuropathy Symptoms Diagnosis and Treatment

Small fiber neuropathy is really an interestingcondition because it consists typically of just burning, numbness, pain of the feet,sometimes the hands later on without necessarily having any abnormalities on your EMG or nerveconduction study. So what I tell patients and actually residents or students who trainunder us is that a normal nerve conduction study does not exclude a neuropathy. And wewill confirm this by doing additional testing, specifically the nervous the the examinationat the bedside asking patients about their symptoms, for example, loss of sensation tocool or or hot temperatures, loss of pain sensation and also doing skin biopsies wherewe look at nerve densities in the skin both

from the calf and the thigh as well as doinga special test that looks at sweat function both in your foot in in the legs as well asthe feet to gauge the level of small fiber nerve damage. Small fiber neuropathy typicallywill progress unless the underlying cause is identified and reversed. Diabetes of coursebeing the most common cause is always screened for. But once the more common causes are excludedand the focus becomes on excluding any underlying secondary disease process but also controllingpain because if patients' symptoms of pain are generally controlled they tend to do prettywell and really have no other major functional deficits. I've really become interested overthe years is how interconnected neurology

and rheumatology are and one thing I oftendo on patients who have unexplained small fiber even autonomic neuropathy is have themsee rheumatology or get evaluated for connective tissue disorders like lupus or Sjogren's orsarcoid and sometimes even if we are not directly involved in treating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and addressed from their standpoint.

ave Dat Drug Money

MP, aka the independent pharmacist JB and J, we servin' up the whole world Ay, where the Staph at, baby? Ay, where the Strep at, baby? Where the C. diff, baby? Check the labs, you know I ain't tryin' to blow that baby Ay, we gon' save dat money Ay, we gon' save dat money

Ay, we gon' save dat money What we do? We gon' save dat money Med game got it all wrong We ain't bout to go and spend money just to flex on them We ain't really got it like ya'll I'm the type of pharmacist that'll check the script Do the math, I will always check the trough Those Vancos will not be dosed wrong

I ain't about to skip a damn step for convenience sake I'm at the pharmacy workin' the latest Hold up, you ain't heard of Lil J MP, the PharmD majors? What you know 'bout the school we went to? Savin' patients money since 2013 I wear the same white lab coat every day Free abx? Publix, I'm on the way! Treat SSTIs at least for 5 days

Ancef to Keflex, they still work the same I get knowledge for drug recs from my teacher Nate THANKS NATE! Ay, where the Staph at baby? Ay, where the Strep at, baby? Ay, where the C. diff, baby? Check the labs, you know I ain't tryin' to blow that, baby Ay, we gon' save dat money

Ay, we gon' save dat money Ay, we gon' save dat money What we do? We gon' save dat money All of my drugs are generic, check that algorithm All my patients on quinolones, put that sunblock on 'em All the med students actin' thoughtless, can't disregard 'em All the med students actin' holy, ain't got no guidelines I can teach a lil intern somethin, like a teacher

I can take his butt to school fresh as hell, too eager I can make him learn IDSA recs like a PharmD I can. Uhh Jenn? What does that have to do with antibiotics though? You know what? Let me get the guidelines, just in case I ain't fillin cuz the culture's positive, homie

Category: Neuropathy Treatment

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