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Finger paresthesia Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Finger paresthesia. 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 noticed paresthesia in your finger?

    Why: to establish if acute or chronic.

  2. Which finger or fingers are affected?
  3. Are there other parts of the upper extremity that are affected by paresthesia?

    Why: e.g. hand, forearm, elbow, shoulder - can help determine which nerves are affected.

  4. Are both upper extremities affected and is it symmetrical?- helps determine which nerves are affected e.g. peripheral neuropathy is symmetrical compared with individual nerve or nerve root disease which should be suspected if sensory loss is asymmetrical or confined to one limb
  5. Is there a time of day when finger paresthesia is worse?

    Why: can help determine the cause of arm numbness e.g. carpal tunnel syndrome is usually worse at night.

  6. Relieving factors?

    Why: helps determine the cause of finger paresthesia e.g. carpal tunnel syndrome symptoms may be relieved by dangling the arm over the side of the bed.

  7. Recent viral infection?

    Why: may suggest Guillain-Barre syndrome (usually follows 1-3 weeks after a viral illness that is often trivial).

  8. History of trauma?

    Why: e.g. whiplash injury, Brachial plexus injury, finger fracture may cause finger paresthesia.

  9. History of exposure to extreme cold conditions?

    Why: may suggest frostbite.

  10. Past medical history?

    Why: diabetes and chronic renal failure can be a cause of peripheral neuropathy; Raynaud's phenomenon may be caused by rheumatoid arthritis, lupus erythematosus, systemic sclerosis, polyarteritis nodosa, Buerger's disease, polycythaemia, leukemia, polymyositis , dermatomyositis.

  11. Dietary history?

    Why: e.g. Vitamin B12 deficiency can be a cause of peripheral neuropathy.

  12. Medications?

    Why: some medications can cause peripheral neuropathy e.g. amiodarone , phenytoin, nitrofurantoin; beta-blocker blood pressure medications and ergotamine can cause Raynaud's phenomenon.

  13. Occupational history?

    Why: certain occupations requiring repetitive motions are at risk of causing work-induced overuse disorders (e.g. process and meat workers are at risk of carpal tunnel syndrome due to rapid finger and wrist movement); vibrating machinery workers are at risk of Raynaud's phenomenon.

  14. Sexually transmitted disease history?

    Why: Tabes dorsalis of syphilis may be the cause.

  15. Cigarette smoking?

    Why: aggravates Raynaud's phenomenon and peripheral vascular disease.

  16. Alcohol history?

    Why: can be a cause of peripheral neuropathy.

  17. Arm pain?

    Why: if also pain in the involved extremity this usually suggests herniated cervical disc , spinal cord tumor or cervical spondylosis. Other conditions to consider are brachial plexus neuropathy, thoracic outlet syndrome, cervical rib, Pancoast's tumor, Raynaud's disease, sympathetic dystrophy or various entrapment syndromes such as carpal tunnel syndrome and ulnar nerve entrapment at the elbow.

  18. Arm weakness?
  19. Neck pain?

    Why: may indicate cervical spondylosis, herniated cervical disc, spinal cord tumor.

  20. Are there any other areas of the body which have paresthesia?

    Why: e.g. paresthesia of the face would suggest a diagnosis of cerebrovascular disease, a mass in the brain, migraine or multiple sclerosis.

  21. Symptoms of multiple sclerosis?

    Why: e.g. impaired vision, limb weakness, limb numbness or tingling, tremor of hands, dizziness.

  22. Symptoms of Raynaud's phenomenon?

    Why: e.g. sequential discoloration of the digits from pallor to blueness to redness upon exposure to cold. When fingers become red they are painful.

  23. Symptoms of panic attacks?

    Why: e.g. sudden, unexpected, short-lived episodes of intense anxiety, shortness of breath, dizziness, palpitations, trembling, sweating, choking, nausea and fear of dying. Can get tingling or paresthesia, but usually associated with many other symptoms.

  24. Symptoms of Guillain-Barre syndrome?

    Why: e.g. weakness of distal limb muscles or distal numbness which ascends over several days or weeks.

Conditions listing medical symptoms: Finger paresthesia:

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

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Conditions listing medical complications: Finger paresthesia:

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


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