*For medical professionals for reference
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Patients male, 62 years old.Due to the weakness of the limbs, he was diagnosed with a sense of numbness for 3 years.Three years ago, the patient had abnormalities in both toes, manifested as a sense of stepping on the stone, accompanied by the painful end of the lower limbs, weak limbs, and gradually worsening the condition. The conscious part of the two toes felt abnormal parts gradually rising to the knee joint.Major sense, weakness.Admitting physical examination: T36.7 ° C, R24 times/min.The consciousness is clear, the skull nerve negative, the limb muscle tone decreases, the limb muscle strength is 5 levels, the pain is glove-socks, the remote vibration of the lower limbs disappears, the reflection of the quadrice of the tetraon is weakened, the bilateral Achilles tendon reflection disappears, the limb BABINSKI is negative, the limb is negative.Kernig is negative.
[Tips] Patient diagnosis More than 15 years.This time the empty abdominal blood glucose 15.6 mmol/L, the glycated hemoglobin was significantly increased, the serum electrolyte, the neuroshinoside antibody, and the immune fixed electrophoretic were not abnormal.The permeability of the gastrocity and gastrocity nerves slows down.
q:
Question: The main consideration of the current diagnosis of patients is
a:
A. Chronic Jilan Baror syndrome
b.Vasculitis peripheral neuropathy
C. Deputy syndrome
d. fibula muscle atrophy diarrhea.
E. Diabetes peripheral neuropathy
f.Partners must already have their own answers
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Responsible editor: Lao Bean sprouts
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