HighHopes
Forum Senior
Topics: 12
Posts: 165
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Q-An 86-year-old man has diminished vibratory sensation at the knees and toes, although
his reflexes are intact, temperature sensation is normal, and he feels well apart from
headaches. Which one of the following is the most likely explanation?
1) peripheral neuropathy
2) normal age-related change
3) spinal cord lesion
4) small strokes
5) brain or brain stem tumor
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| mimi222
Forum Junior
Topics: 3
Posts: 28
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2 is right. becuse as normal changes in old people we can have decresed sensation in toes,ankle,knee.
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| foucesed doc
Forum Junior
Topics: 10
Posts: 57
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1..
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| prep4step1
Forum Senior
Topics: 7
Posts: 95
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I think 1 also
Mainly because with vibratory sense is the first one to go with diabetic neuropathy so I assume peripheral neuropathy would be the right answer. I am sure old people would have decreased vibration sensation but the question says dimished. Humm
I would go with peripheral neuropathy.
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| Thunderball65
Forum Newbie
Topics: 3
Posts: 34
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1 - he is 86, you can't just call it "age related changes" those changes may happen you have to call it peripheral neuropathy until proven otherwise.
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| doc68
Forum Junior
Topics: 2
Posts: 56
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what about his haedaches, any haedach in older age has to be investigated to rule out cancer
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| AAzad
Forum Guru
Topics: 55
Posts: 457
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peripheral neuropathy demonstrate as parestesis and leg pain during night, also glove and stoking.is not vibration relatedto dorsal coloumn (fasciculus Grcilis & cuneatus ?
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