The anamnesis (medical history) represents an important component in the diagnosis of muscle spasm, spasm or spasticity.
Family history
- Are there any conditions in your family that are common?
- Are there any hereditary diseases in your family?
Social history
- What is your profession?
Current medical history/systemic history (somatic and psychological complaints).
- What symptoms have you noticed?
- When does this muscle spasm occur?
- How long has this symptomatology been present?
- Was there a triggering moment (accident, fall, etc)?
- Did the spasticity occur suddenly or did the symptomatology increase slowly?
- Are you experiencing pain?
- Have you noticed any paralysis and/or sensory disturbances? If so, how long have these existed and where exactly are they localized?
Vegetative anamnesis incl. nutritional anamnesis.
- Have you noticed any changes in bowel movements and/or urination?
- Can you hold stool and urine?
- Do you drink enough every day?
- Do you drink alcohol more often? If so, what drink(s) and how many glasses of it per day?
Self anamnesis incl. medication anamnesis
- Pre-existing conditions (metabolic, liver, and kidney diseases, neurological diseases).
- Operations
- Radiotherapy
- Vaccination status
- Allergies
- Pregnancies
- Environmental history
Medication history (due tomuscle spasms)
- Α4β7-integrin antagonist (vedolizumab).
- Acetylcholinesterase inhibitor (donezepil, galantamine, rivastigmine).
- Beta blockers
- Beta-sympathomimetics
- Calcimimetic (etelcalcetide)
- Calcium antagonists
- Quinidine (antiarrhythmic drug)
- Cholinergics (parasympathomimetics) – such as carbachol, neostigmine, pyridostigmine.
- Clofibric acid derivatives (lipid-lowering agents).
- Diuretics
- Parathyroid hormone analogue (teriparatide)
- Statins (lipid-lowering agents)
- Tyrosine kinase inhibitors (TKi) – imatinab, neratinib.
