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Hemiparesis Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Hemiparesis. 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 have you had hemiparesis (one sided paralysis of the body)?

    Why: to determine if acute or chronic.

  2. Is the hemiparesis intermittent?

    Why: would suggest migraine, transient ischemic attacks from the basilar artery or carotid artery disease, epilepsy.

  3. Was the onset sudden or gradual?

    Why: Sudden onset would most commonly suggest a stroke due to cerebral thrombosis, hemorrhage or embolism; however a contusion or concussion of the spinal cord may also produce a sudden onset of hemiparesis. If there is a history of trauma and a sudden onset of hemiparesis must consider a subdural or epidural haematoma. A gradual onset of hemiparesis would suggest a brain tumor or brain abscess.

  4. History of trauma?

    Why: would suggest a subdural or epidural haematoma or a hemorrhage in the brain itself.

  5. Recent viral infection?

    Why: e.g. measles, chicken pox, mumps, rubella - may suggest Acute disseminated encephalitis.

  6. Recent immunization?

    Why: e.g. recent immunization with rabies, influenza, pertussis or smallpox vaccine may suggest acute disseminated encephalomyelitis.

  7. Risk factors for stroke?

    Why: e.g. high blood pressure, high cholesterol, diabetes, smoking, family history, atrial fibrillation, cardiovascular disease, increasing age. Less well documented risk factors for stroke include oral contraceptive pill, obesity, stress, sedentary lifestyle, migraine and excessive alcohol consumption.

  8. Risk factors for subarachnoid hemorrhage?

    Why: e.g. berry aneurysm in brain, arteriovenous malformations in the brain, bleeding disorders, bacterial endocarditis, bacterial endocarditis, brain tumor, Marfan's syndrome, Ehlers -Danlos syndrome.

  9. Past medical history?

    Why: e.g. if history of high blood pressure must consider a stroke due to a cerebral hemorrhage, cerebral thrombosis or cerebral aneurysm; angina; intermittent claudication.

  10. Cigarette smoking?

    Why: cigarette smoking is a major risk factor for thrombotic stroke.

  11. Family history?

    Why: e.g. stroke, cerebral aneurysm.

  12. Paralysis of the facial muscles?

    Why: should suspect a cause within the brain. If nil paralysis of the facial muscles more likely to suggest a cause in the spinal cord.

  13. Fever?

    Why: should suggest cerebral abscess, venous sinus thrombosis or encephalitis.

  14. Seizures?

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

  15. Headaches?

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

  16. Symptoms of transient ischemic attack?

    Why: e.g. sudden onset of neurological deficit that lasts for less than 24 hours (average length of time is 5 minutes) with complete clinical recovery. Consciousness is usually preserved. Symptoms may include sudden blindness in one eye; inability to speak; weakness, paralysis or numbness of one side of the face, arm and leg.

  17. Symptoms of a stroke (Cerebrovascular accident)?

    Why: e.g. sudden onset of neurological deficit lasting longer than 24 hours. Symptoms depend on the specific blood vessel to the brain that is affected by the stroke. Symptoms may include weakness or paralysis on one side of the body, difficulty with speaking, visual field deficits, numbness to one side of the body.

  18. Symptoms of multiple sclerosis?

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

  19. Symptoms of subarachnoid hemorrhage?

    Why: e.g. sudden sever headache at the back of the head. This is usually followed by vomiting and often loss of consciousness. Focal symptoms depend on amount and site of bleeding and may include weakness or paralysis to one side of the body or visual loss.

  20. Symptoms of Acute disseminated encephalitis?

    Why: e.g. follows many common viral infections such as measles, chicken pox, mumps and rubella or rarely after immunization against rabies, influenza or pertussis. Symptoms may include abrupt onset of fever, neck stiffness, headache, lethargy, confusion, drowsiness, seizures, paralysis of one limb or one side of body or all four limbs may be seen, may also have numbness in the limbs.

Conditions listing medical symptoms: Hemiparesis:

The following list of conditions have 'Hemiparesis' 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 Hemiparesis or choose View All.

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Conditions listing medical complications: Hemiparesis:

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

 

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