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IN CARPAL TUNNEL SYNDROME
The majority of patients present over the age of 50.
Tingling and numbness is confined to the hands.
There may be weakness of abductor pollicis brevis.
There is a significant association with diabetes.
A Uhthoff’s type phenomenon is characteristic.
Affects men and women equally.
May involve gambling on machines in amusement arcades.
Problem is more likely to be raised by a relative than by the person concerned.
Is most effectively treated by aversion therapy.
May be helped online.
THE FOLLOWING ARE RECOGNISED CAUSED OF PROTEINURIA
Polycystic renal disease.
Congestive heart failure.
ACUTE ANAL FISSURES
Affect males more often than females.
Are normally situated laterally.
Patients should be advised to avoid baths.
Are best treated with 2 per cent GTN ointment applied two-to-three times daily.
If multiple, suggest an underlying cause.
RISK FACTORS FOR INSULIN RESISTANCE IN PATIENTS WITH DIABETES INCLUDE
Drinking one-to-two units of alcohol a day.
False. Occurs most often in third-to-fifth decade.
False. Predominantly nocturnal and can radiate from hand to elbow. Symptoms may be outside the territory of the median nerve.
True. And opponens pollicis.
True. And pregnancy, rheumatoid arthritis, hypothyroidism.
False. This occurs in multiple sclerosis where there is a temporary exacerbation of symptoms associated with a rise in temperature.
False. Nearly all men except for some bingo gamblers. Estimated 1 per cent Irish population has severe gambling problem.
True. Mainly this and off-course betting in betting offices.
True. Compulsive gambler is as difficult to recognise as a problem drinker.
False. Need individual and family counselling and consultation or referral if necessary.
True. Could start at Gamble Aware.
True. Also diabetes, amyloidosis.
True. Bruce Jones proteins present in 30 per cent.
False. Causes haematuria.
True. Or malignant hypertension.
True. May also occur with fever.
False. Occur in younger adults and affect both sexes equally.
False. This would be atypical and suggests an underlying cause.
False. Simple hygiene, fibre supplements and warm sitz baths will heal most acute fissures.
False. 0.4 per cent GTN ointment TID for eight weeks will heal most chronic fissures.
True. Examples include inflammatory bowel disease, immunosuppression.
True. Main risk factor.
True. Another reason for keeping tight control of blood pressure in patients with diabetes.
True. Low high-density lipoprotein cholesterol and raised triglycerides.
True. Only occasionally involved.
False. Though higher consumption might need to be reduced when treating hypertriglyceridaemia in a patient with diabetes.