17th September 2020

A 46-year-old male attends the GP practice, he explains experiencing lack of touch sensation

A 46-year-old male attends the GP practice, he explains experiencing lack of touch sensation in his feet and sometimes having difficulty feeling the position of his feet. He mentions that this problem started some months ago, and over time this problem has been getting worse. 

On examination:

• The patient requires the help of a Zimmer frame to assist with his walking.
• Bilateral lack of sensation with cotton wool and neurotip extending up to the heels.
• Ankle reflexes present, Babinski negative in both feet.

What are some of the common causes of peripheral neuropathy?

Which THREE of the following are correct? Select THREE options only.