Critical illness polyneuropathy (peripheral): Difference between revisions
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*This is a (semi) specific entity with sensory-motor polyneuropathy seen in the setting of critical illness. It's presentation can lean more heavily (or solely) as sensory nerves or motor nerves or both. The most common critical illness is sepsis/septic shock, but can be seen in a wide variety of critical illnesses. It's believed to be the peripheral nervous system version of multi-organ dysfunction syndrom (MODS), and due to circulating, soluble inflammatory mediators. | *This is a (semi) specific entity with sensory-motor polyneuropathy seen in the setting of critical illness. It's presentation can lean more heavily (or solely) as sensory nerves or motor nerves or both. The most common critical illness is sepsis/septic shock, but can be seen in a wide variety of critical illnesses. It's believed to be the peripheral nervous system version of multi-organ dysfunction syndrom (MODS), and due to circulating, soluble inflammatory mediators. | ||
*There is no specific delineation of ''which'' critical illness is involved, nor how BAD that illness has to be. Usually the diagnosis is made in the presence of a sensory-motor polyneuropathy in someone with critical illness of any type, where there is no other recognized cause of the polyneuropathy. | *There is no specific delineation of ''which'' critical illness is involved, nor how BAD that illness has to be. Usually the diagnosis is made in the presence of a sensory-motor polyneuropathy in someone with critical illness of any type, where there is no other recognized cause of the polyneuropathy. | ||
'''Excludes''' | |||
* muscle deconditioning, use [[Muscle, wasting/atrophy NOS]] | |||
* [https://en.wikipedia.org/wiki/Polyneuropathy Polyneuropathy] | * [https://en.wikipedia.org/wiki/Polyneuropathy Polyneuropathy] | ||
{{ICD10 Acquired neuromuscular weakness}} | {{ICD10 Acquired neuromuscular weakness}} | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||