A diabetic client presents to the clinic. He is concerned his lower legs are "feeling funny." Which of the following assessment findings lead the health care provider to suspect the client may have developed somatic neuropathy?
Select all that apply.
A) Both legs appear to be the same as far as numbness is involved.
B) Bilateral cool ankles and feet.
C) Right foot has a diminished perception of vibration; left foot is normal.
D) With eyes closed, the client cannot identify where the HCP is touching his feet.
E) One leg has a reddened area in the calf and has a positive Homan sign.
Ans: A, B, D
Feedback:
A distal symmetric polyneuropathy, in which loss of function typically occurs in a stocking–glove pattern, is the most common form of peripheral neuropathy. Somatic sensory involvement usually occurs first, often is bilateral and symmetric, and is associated with diminished perception of vibration, pain, and temperature, particularly in the lower extremities. The loss of feeling, touch, and position sense increases the risk of falling. A reddened area on calf with +Homan sign is diagnostic for a blood clot.
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