13. Autonomic Neuropathy Explained 🔥 | Neurology Internal Medicine скачать в хорошем качестве

13. Autonomic Neuropathy Explained 🔥 | Neurology Internal Medicine

📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- https://t.me/conceptualmedicine 📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- https://www.instagram.com/conceptual_... Autonomic Neuropathy Explained 🧠 | High-Yield NEET PG/FMGE/USMLE Neurology Internal Medicine Welcome to this high-yield internal medicine session by Dr. Rajesh Gubba, where we break down the essential clinical and exam-focused topic: Autonomic Neuropathy 🧠🫀. This condition results from damage to the autonomic nerves (both sympathetic and parasympathetic), leading to impaired regulation of involuntary body functions like blood pressure, heart rate, digestion, sweating, and urogenital reflexes. It is a classic integration point for neurology and medicine, and a favorite in NEET PG, FMGE, and USMLE Step 1/2 CK exams. Most common cause? Chronic diabetes mellitus (diabetic autonomic neuropathy) 🍩💉, though it may also be seen in amyloidosis, Parkinson's disease, Guillain-Barré syndrome, chronic alcohol abuse, HIV, and certain autoimmune conditions. Clinical features span multiple systems: Cardiovascular 🫀: Presents with orthostatic hypotension, resting tachycardia, and loss of HR variability. The baroreceptor reflex is blunted. Gastrointestinal 🍽️: Manifests as gastroparesis, nausea, bloating, constipation, or alternating diarrhea due to impaired enteric innervation. Genitourinary 🚽🍌: Features include neurogenic bladder, urinary retention or overflow incontinence, erectile dysfunction, and retrograde ejaculation. Sudomotor dysfunction 🥵: May lead to anhidrosis, hyperhidrosis, or uneven sweating patterns. Pupillary involvement 👁️: Light-near dissociation, poor light reflex, and midriasis due to parasympathetic denervation. Other signs: Includes hypoglycemia unawareness, especially in diabetics—owing to impaired sympathetic feedback. Diagnostic approach involves bedside tests (like HR variability during deep breathing, Valsalva response, tilt table testing) and advanced modalities like QSART. The Ewing’s battery of autonomic tests is especially important in NEET/FMGE-level questions. Management is dual-pronged: • Treat the cause – Optimize glycemic control in diabetics • Symptomatic treatment: – Midodrine/fludrocortisone for orthostatic hypotension – Prokinetics like metoclopramide for gastroparesis – Bethanechol or catheterization for bladder dysfunction – Sildenafil for erectile dysfunction This session is a perfect mix of clinical integration, physiology, pharmacology, and practical medicine. With crisp visuals, memory aids, and a structured approach, Dr. Rajesh Gubba makes this complex topic simple, exam-ready, and unforgettable. Perfect for final revisions and real-world understanding! #AutonomicNeuropathy #DrRajeshGubba #NEETPG #FMGE #USMLE #DiabeticNeuropathy #InternalMedicine #ClinicalNeurology #HighYieldMedicine #Step1Prep #USMLEStep1 #EwingTests #Gastroparesis #OrthostaticHypotension #MBBSPrep #MedSchoolContent #PGPrep #ConceptualMedicine