Medical history (history of illness) is an important component in the diagnosis of acute paresis (acute paralysis). Family history Is there a history of frequent cardiovascular disease or neurologic disease in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and … Acute Paralysis (Acute Paresis): Medical History
Intracerebral hemorrhage (ICB; cerebral hemorrhage). All differential diagnoses of transistor ischemic attack (TIA) and apoplexy are possible differential diagnoses of acute paresis. Only the most important differential diagnoses of acute paresis are discussed below. Endocrine, nutritional, and metabolic diseases (E00-E90). Hypoglycemia (low blood sugar) due to diabetes mellitus. Porphyria or acute intermittent porphyria (AIP); genetic … Acute Paralysis (Acute Paresis): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: Assessment of consciousness using the Glasgow Coma Scale (GCS). General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Neck vein congestion? Central cyanosis? (bluish discoloration of skin and central mucous membranes, e.g., tongue). Abdomen … Acute Paralysis (Acute Paresis): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Fasting glucose (fasting blood glucose). Electrolytes – calcium, sodium, potassium, magnesium. Coagulation parameters – PTT, Quick Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. … Acute Paralysis (Acute Paresis): Test and Diagnosis
Obligatory medical device diagnostics. Computed tomography/magnetic resonance imaging of the skull* (cranial CT or.cCT/cranial MRI or cMRI) – for basic diagnosis. Electrocardiogram (ECG; recording of the electrical activities of the heart muscle) – as a basic diagnostic to exclude cardiac arrhythmias. Doppler/duplex sonography (ultrasound examination: combination of a sonographic cross-sectional image (B-scan) and the Doppler … Acute Paralysis (Acute Paresis): Diagnostic Tests
The following symptoms and complaints may indicate acute paresis (acute paralysis): Pathognomonic (indicative of a disease) One or more acute paresis Secondary symptoms Amaurosis fugax – sudden and temporary blindness. Aphasia (speech disorders) Cephalgia (headache) Diplopia (double vision, double images) Dysarthria (speech disorder) Dysphagia (swallowing disorder) Balance disorders Hemianopsia (visual field loss) Sudden clouding of … Acute Paralysis (Acute Paresis): Symptoms, Complaints, Signs
