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A Palpable Cord!

Topic: Anatomy

Created on Thursday, October 23 2008 by rednucleus

Last modified on Thursday, October 23 2008.

Your internal medicine colleague has referred a case of peripheral neuropathy to you. His referral states that "there are some palpable nerves." Which one of the following is not on your differential diagnosis list?

 
        A) Acromegaly
 
        B) Leprosy
 
        C) Charcot-Marie-Tooth disease type II
 
        D) Amyloidosis
 
        E) Rufsum's disease
 

 


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This question was created on October 23, 2008 by rednucleus.
This question was last modified on October 23, 2008.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Acromegaly

This answer is incorrect.


Acromegaly per se does not cause peripheral polyneuropathy but can result in entrapment neuropathies.  (See References)

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B) Leprosy

This answer is incorrect.


Due to bacterial infiltration.  (See References)

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C) Charcot-Marie-Tooth disease type II

This answer is correct.


Type II disease is an axonal one; there is no demyelination with remyelination which are seen in type I disease.  (See References)

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D) Amyloidosis

This answer is incorrect.


With autonomic neuropathy.  (See References)

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E) Rufsum's disease

This answer is incorrect.


With retinitis pigmentosa and skin thinking.  (See References)

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References:

1. Victor, M., and Ropper, A.H. (2001). Adams and Victor's Principles of Neurology, 7th Edition. McGraw-Hill, New York. (ISBN:0070674973)Advertising:
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anatomy
A Palpable Cord!
Question ID: 102308098
Question written by rednucleus. (C) FrontalCortex.com 2006-2009, all rights reserved. Created: 10/23/2008
Modified: 10/23/2008
Estimated Permutations: 120

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