Paresthesia

Malaesthesias (Paresthesias): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and Mucous membranes Gait pattern (fluid, limping) Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies … Malaesthesias (Paresthesias): Examination

Malaesthesias (Paresthesias): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Fasting glucose (fasting blood glucose), oral glucose tolerance test (oGTT) if necessary. Laboratory parameters 2nd order – depending on the results of the history, physical examination and the obligatory laboratory parameters – for differential diagnostic clarification. Small blood count (MCV ↑ in alcohol dependence). Differential … Malaesthesias (Paresthesias): Test and Diagnosis

Malaesthesias (Paresthesias): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-rays of the cervical spine (cervical spine X-ray). Computed tomography of the skull (cranial CT, cranial CT or cCT/the spine (spinal CT) -for suspected neurological cause such as apoplexy … Malaesthesias (Paresthesias): Diagnostic Tests

Malaesthesias (Paresthesias): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate paresthesias (false sensations): Formication Heat/cold sensation Tingling sensation Pinpricks Furry feeling Numbness Warning signs (red flags) Immediate investigation/therapy is required if symptoms appear suddenly If localization changes (often in combination with visual disturbances) → think of: Multiple Sclerosis (MS) Neurological complaints (e.g., motor deficits, paralysis, etc.). Any persistent … Malaesthesias (Paresthesias): Symptoms, Complaints, Signs

Malaesthesias (Paresthesias): Medical History

Medical history (history of illness) represents an important component in the diagnosis of paresthesias (paraesthesias). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed to harmful working … Malaesthesias (Paresthesias): Medical History

Malaesthesias (Paresthesias): Or something else? Differential Diagnosis

Blood, hematopoietic organs-immune system (D50-D90). Polycythemia – disease in which there are too many red blood cells (RBCs) in the blood. Endocrine, nutritional and metabolic diseases (E00-E90). Diabetes mellitus Funicular myelosis (synonym: funicular spinal disease) – demyelinating disease (degeneration of the posterior cord, lateral cord, and a polyneuropathy/diseases of the peripheral nervous system affecting multiple … Malaesthesias (Paresthesias): Or something else? Differential Diagnosis