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Paresthesia

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  1. Symptoms
    1. Abnormal sensations in the absence of stimuli
      1. Numb sensation
      2. Cold, warmth or burning sensation
      3. Prickling, tingling or pins and needles sensation
      4. Skin crawling sensation
      5. Pruritus
    2. Location
      1. Extremities
  2. Differential Diagnosis
    1. See Paresthesia Causes
  3. Labs: Initial Evaluation
    1. Complete Blood Count
    2. Chemistry panel or metabolic panel (Chem7)
    3. Urinalysis
    4. Thyroid Stimulating Hormone (TSH)
    5. Erythrocyte Sedimentation Rate (ESR)
  4. Labs: Other Studies when indicated
    1. Serum Folate
    2. Vitamin B12
    3. Syphilis Serology (VDRL or RPR)
    4. Antinuclear Antibody (ANA)
    5. Nerve conduction velocities
    6. Electromyogram (EMG)
    7. XRay of affected extremity
    8. CT Head or MRI Head
    9. Myelography
    10. Nerve biopsy
    11. Muscle biopsy
    12. Serum immunoelectrophoresis
    13. Purified Protein Derivative (PPD)

Paresthesia (C0030554)

Definition (MSH)Subjective cutaneous sensations (e.g., cold, warmth, tingling, pressure, etc.) that are experienced spontaneously in the absence of stimulation.
Definition (NCI)Abnormal touch sensations, such as burning or prickling, that occur without an outside stimulus.
ConceptsSign or Symptom (T184)
ICD9782.0
EnglishParaesthesia, Paraesthesias, Paresthesia, PARESTHESIAS
Spanishparestesia
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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