From: Clinical prediction rules for the diagnosis of neuritis in leprosy
Subjective questions | |||
---|---|---|---|
1. When did your pain start? | Less than 30 days | 30–90 days | More than 90 days |
2. Do you feel numbness or diminished skin tone in the same area that feels pain? | No | Yes, until 30 days | Yes, 30 days or more |
3. Do you feel tingling in the same area that feels pain? | No | Yes, until 30 days | Yes, 30 days or more |
4. Do you feel weakness in the hand and arm or foot and leg that feels pain? | No | Yes, until 30 days | Yes, 30 days or more |
5. Have you noticed frequent trouble opening screw bottles or lock with key?/Have you noticed frequent tripping or difficulty wearing flip-flops or sandals? | No | Yes, until 30 days | Yes, 30 days or more |
6. You notice pain worsening | Waking up in the morning | No | Yes |
When you go bed at night | No | Yes | |
Making movements with hands or arms/foots and legs | No | Yes | |
After effort, carry weight or perform manual work | No | Yes | |
Physical examination | |||
7. Examine radial, median and ulnar nerves/fibular, sural and tibial nerves through palpation. Ask patient about trigger pain by nerve palpation | Pain is palpation spontaneously declared bfore question | Pain is referred after question | Patient negative trigger pain by nerve palpation |
8. Ask patient to locate the pain area. Is there pain irradiation when describing area affected? | No | Yes | |
9. How you think about these questions | Easy to answer | Difficult to answer | Indifferent and had no opinion about it |