Educational objective: Diabetic neuropathy is a distal, symmet | Surgery collections Videos and quizez 2021

Educational objective: Diabetic neuropathy is a distal, symmetric polyneuropathy that can cause a "stocking and glove" pattern of sensory loss, impaired proprioception and vibratory sense, and diminished ankle reflexes; motor findings may be a late manifestation in severe disease. Hyperactive reflexes and an upgoing plantar reflex are inconsistent with diabetic neuropathy and are suggestive of an upper motor neuron process.