Criteria for Diabetic Neuropathy Diagnosis - Medical Algorithm

Are you evaluating a patient for diabetic neuropathy?

Yes

Does the patient have?

• diabetes mellitus?

Yes

• numbness or a dead feeling in feet?

Yes

• a prickling sensation in the feet?

Yes

• deep aching or burning pains in the legs?

Yes

• unusual difficulty in climbing the stairs?

Yes

• difficulty with bladder control?

Yes

• nocturnal diarrhea?

Yes

Does the patient have normal tendon reflexes?

• in the left ankle?

Yes

• in the right knee?

Yes

• in the right ankle?

Yes

• in the right knee?

Yes

Is the vibration-perception threshold at the great toe or medial malleolus abnormal for the patient's age?

Yes

Systolic blood pressure while lying supine

mm Hg

Systolic blood pressure if stood up suddenly

mm Hg

RR ratio in the ECG after standing up

Have you excluded other causes for the findings?

Yes

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

Criteria of Tesfaye et al for the Diagnosis of Diabetic Neuropathy

Purpose: To determine if a patient has diabetic neuropathy using the criteria of Tesfaye et al.