A sural nerve biopsy may be useful to enable the clinician to diagnose the etiology and underlying pathology of patients presenting with symptoms of a peripheral neuropathy, when no clear underlying cause has been determined with conventional assessment such as electrophysiology or quantitative sensory testing.
The Best Wildflower Hikes in the Great Smoky Mountains The Great Smoky Mountains are home to more than 1600 species of flowering plants. During each month of the year, some forb, tree or vine is blooming in the Smokies. During the spring, wildflowers explode during the brief window just prior to trees leafing out and shading the forest floor (from about mid-April thru mid-May).
Group 1 is the early flowering species which generally bloom in late April to late May. These include Clematis alpina 'Constance', Clematis alpina 'Pamela Jackman', Clematis macropetala 'Lagoon' (nice deep blue with double petals) and Clematis montana 'Elizabeth'.The Group 1 clematis bloom on last year's wood.hese require minimal pruning to remove any dead stems in late March just as buds swell. These include 'The President' a nice rich purple or 'Vino' a deep red. 'Mrs. Cholmondeley' is light lavender blue and seems to tolerate more shade than other clematis.