Neurology Book

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Diabetic Neuropathy Testing

Aka: Diabetic Neuropathy Testing, Peripheral Neuropathy Testing, Semmes-Weinstein 10-g, 5.07-Gauge Monofilament
  1. See Also
    1. Diabetic Neuropathy
    2. Diabetic Foot Care
    3. Peripheral Neuropathy
  2. Indications
    1. Diabetes Mellitus Peripheral Neuropathy Testing
  3. Pathophysiology
    1. 10-g Monofilament correlates with protective sensation
  4. Technique
    1. Monofilament applied to at least 4 sites on each foot
    2. Apply just enough pressure to bend monofilament
  5. Interpretation: Unable to feel 4 sites on foot
    1. Suggests significant Peripheral Neuropathy
    2. Risk of Foot Ulcer or Charcot Joint
  6. Alternative testing: Tuning fork test
    1. Tuning fork (128 hz) applied to malleolus
    2. Lack of sensation suggests Peripheral Neuropathy
    3. Less sensitive than 10-g monofilament

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