Limb Weakness History

  • CC:
    • Site: uni\bi-lateral? Radiates anywhere else?
    • Onset: first time? When? What were you doing? Gradual\sudden? Continuous\intermittent? Getting better\worse?
    • Duration: how long does it last?
    • Timing: specific time of the day\night? How frequent?
    • Relieving\aggravating factors: walking (specific distance)? Resting? Position?
    • Severity: 1-10 scale? Wakes you up at night? Interfering w\ ADL?
  • Associated sx:
    • Constitutional: fever, fatigue, wt loss, loss of appetite, night sweats, chills?
    • Stroke: change in speech, vision, smell, swallowing difficulty?
    • Central: headache, seizures, dizziness, loss of consciousness?
    • Peripheral: numbness, difficulty brushing your hair\getting up from chair, gait, falls, neurological claudication, bladder\bowel control?
  • PMHx:
    • Diseases:
      • Chronic ds (HTN, DM, DLP)
      • Prev VTE (stroke, MI, DVT)
      • Heart ds, neurological ds, PVD
      • Malignancy, infections
    • Medications: NSAIDs, aspirin, anticoagulants
    • Surgery, hospitalization, trauma
    • Blood transfusions, IV drug use, tattoos
    • Allergies
  • FMHx:
    • Similar complaint?
    • Same diseases as in PMHx?
  • Social Hx:
    • Occupation, marital status, children?
    • Smoking, alcohol, recreational drugs?
    • Travel Hx, contact with sick pts?
    • Diet, exercise

 


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