Numbness & Paraesthesia
COVID-19 clinical presentation
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<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
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*Common causes
- Anxiety
/ Hyperventilation - Diabetic neuropathy
- Mononeuropathies
(e.g. CTS) - Radiculopathy
- Migraine
with aura - Herpes Zoster
*Must not miss!
*Easily missed
Red flags
- Confusion & loss of consciousness
- Back pain & loss of bladder/bowel control
- Difficulty walking
- Other neurological symptoms
- Change in vision
- Slurred speech
- Limb weakness
- Chronic progressive symptoms
Investigations to consider
- FBC, CRP/ESR
- U+Es, LFTs, TFTs, Bone profile, Serum glucose, B12 + Folate
- Auto-antibody screen
- Myeloma Screen
- HIV screen
- Toxicology screen
- CXR
- NCS + EMG
- MRI scan (head & spine)
- Lumbar puncture