Paraesthesia – assessment

Nerve entrapment syndromes for e.g- carpal tunnel syndrome- ulnar nerve entrapment- tarsal nerve entrapment

Peripheral neuropathies

Radiculopathies -for e.g due to cervical or lumbar N roots irritation / compression

Transient paraesthesis is a common complain ( for e.g sitting cross legged , sleeping on an arm )

statins

amiodarone

anti-retrovirals

tacrolimus

levodopa

chemotherapeutic agents

metformin ( b12 )

phenytoin

nitrofurantoin

pyridoxine excess

Perception of abnormal sensation including feelings of pins and needles , tingling , pricking , ant crawling , cold / warmth

when did it start

area affected ( hand , fingers )

any neck problems

any provocative factors

timing & character ( constant , intermittent , worse at night )

associated pain / motor dysfunction /weakness

symptoms / features suggestive of Raynaud's

occupation related ( vibratory machines , typing , factory work )

toxin exposure

family history ( ? risk assessment -for e.g relatives with peripheral neuropathy , malignancy , diabetes , thyroid disease )

systemic features ( fever , weight loss , cough )

smoking ( Buerger's disease )

head injury

previous episodes

most commonly affects hands , arms , leg , feet

upper limb examination

mark the areas affected

distribution ( ? symmetric )

motor /...