Numbness / Tingling / Altered Sensation - 66
Patients will often present complaining only of altered sensation. There are varying underlying causes, some of which are serious.
- Peripheral neuropathy (e.g., diabetic neuropathy, carpal tunnel syndrome, radiculopathy)
- Central nervous system (e.g., multiple sclerosis)
- Dermatological (e.g., herpes zoster, angioedema)
- Mental disorders (e.g., panic attacks)
Given a patient presenting with isolated numbness/tingling/altered sensation, the candidate will diagnose the cause, severity, and complications, and will initiate an appropriate management plan.
Given a patient with numbness/tingling/altered sensation, the candidate will
- list and interpret critical clinical findings, including
- history data relevant to potential underlying causes (e.g., diabetic risk factors, workplace risk factors, distribution of symptoms);
- results of a physical examination including a thorough neurological examination;
- list and interpret appropriate investigations (e.g., fasting glucose, nerve conduction studies)
- recognize the fact that in many such cases investigations may not be required;
- construct an effective initial management plan based on the working diagnosis, including
- providing appropriate continuing assessment and ongoing care;
- determining if the patient requires specialized care;
- advising the patient, if necessary, on work-related issues.