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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) Charcot-Marie-Tooth disease type II
 
        B) Leprosy
 
        C) Amyloidosis
 
        D) Acromegaly
 
        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) 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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B) Leprosy

This answer is incorrect.


Due to bacterial infiltration.  (See References)

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C) Amyloidosis

This answer is incorrect.


With autonomic neuropathy.  (See References)

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D) 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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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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