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Clumsiness Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Clumsiness. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long has there been a problem with clumsiness?

    Why: to determine if acute or chronic.

  2. Age of patient?

    Why: if child, causes of clumsiness may include impulsive behavior, Asperger's syndrome, Attention deficit hyperactivity syndrome, Down's syndrome, Soto's syndrome, Rett's syndrome, hydrocephalus, fetal alcohol syndrome, Classic childhood ALD, Chiari malformation, agenesis of the corpus callosum; pubertal adolescence can experience clumsiness as they get used to their changing body proportions.

  3. How much sleep are you getting?

    Why: sleep deprivation and fatigue may cause clumsiness.

  4. Illicit drugs?

    Why: may be cause of clumsiness e.g. marijuana, amphetamine.

  5. Have you been bitten by ticks recently?

    Why: may suggest Lyme disease as cause of clumsiness.

  6. Alcohol history?

    Why: to assess chance of alcohol abuse as cause of clumsiness.

  7. Recent history of head injury?

    Why: may suggest subdural haematoma or extradural haematoma.

  8. Possible poisoning?

    Why: e.g. carbon monoxide poisoning may cause clumsiness; neurotoxic shellfish poisoning; ingestion of tetrodotoxin- containing puffer fish.

  9. Family history?

    Why: e.g. multiple sclerosis.

  10. Fever?

    Why: may suggest encephalitis, Lyme disease.

  11. Dementia?

    Why: may suggest Prion diseases, Alzheimer's disease, Wilson's disease, late stages of Parkinson's disease.

  12. Headaches?

    Why: may suggest brain cancer or brain metastasis, subdural or extradural haematoma.

  13. Seizures?

    Why: may suggest brain cancer or metastasis, encephalitis, stroke.

  14. Symptoms of multiple sclerosis?

    Why: e.g. blurry vision, double vision, dizziness, weakness, numbness or tingling in any limbs.

  15. Symptoms of stroke?

    Why: e.g. weakness or paralysis of facial muscles, weakness or paralysis of a limb(s), difficulty speaking or swallowing.

  16. Anxiety?

    Why: agitation and anxiety may cause clumsiness.

Conditions listing medical symptoms: Clumsiness:

The following list of conditions have 'Clumsiness' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Clumsiness or choose View All.

View All A B C D E F G H I J K L M N O P R S T U W X #

Conditions listing medical complications: Clumsiness:

The following list of medical conditions have 'Clumsiness' or similar listed as a medical complication in our database.

 

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