The Neurologic Diagnosis by Jack N. Alpert

Author:Jack N. Alpert
Language: eng
Format: epub
ISBN: 9783319959511
Publisher: Springer International Publishing

Neurologic Examination

Blood pressure is 130/86; pulse is 78 and regular. General physical examination is normal including good peripheral pulses.

Ankle reflexes are absent. Vibration perception is absent at the toes and diminished at the ankles. When testing vibration the patient perceives it as pain. There is decreased perception of pin up to the ankles bilaterally. He makes errors with light touch on the toes. Straight leg raising is negative.

Questions

1.Is peripheral vascular disease the cause of his pain?

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