Differential diagnosis - Welcome to BMJ Best Practice

For treatment of both hypertension and angina pectoris the usual initial dose is 5 mg once daily.
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What is paresthesia? Causes and symptoms - …

Stroke, Cerebral Palsy, Paresthesias treatment Restore Circulation by Stretching, Exercising or Massaging the affected Limb that may quickly dissipate the numbness & tingling; Supplementation with B-Complex vitamins; Intramascular Injection of Vitamin B12 is very effective; Consult Nurologist Doctor, Paresthesias is caused by Disturbances in Central Nervous System including Stroke, Transient Ischemic Attack/Tumor/Multiple Selerosis/Infection, Paresthesias is caused by Metabolic (body's ability to maintain itself)/Nutritional Disturbances inclu- ding Diabetes; Hypothyroidism; Alcoh- olism; Malnutrition; Vitamin B12 deficiency; Trauma (a fall/blow/car crash), Injuries, Pull on Nerves, Inflammation, Connective Tissue Disease, Arthritis, Malignancy, HIV, Leprosy, Disorder of the Nerve root (Denny Brown's Syndrome), Porphyria (increased production of Porphyrins); Overdose of Vitamin B6, Paralysis symptom Complete loss of strength in an an affected limb or muscle group, Peripheral Nerves get damaged due to Trauma, Compression or Entrapment (such as carpal tunnel syndrome), Guillain-Barr & eacute syndrome (a disease of the nerves that sometimes follows fever caused by a viral infection or immunization), Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) (a condition that causes pain and swelling in the protective sheath covering nerve cells), Radiation, Inherited demyelinating disease (a condition that destroys the protective sheath around the nerve cell), Toxins or poisons, Paralysis treatment Underlying causes are treated; Physical Therapy (focusses on Mobility); Occupational Therapy (focusses on daily activities such as eating, bathing or self-care aids); Nutritions; Recreation, Paralysis caused by damages in Peripheral Nerves, Paresthesias may lead to Paralysis

Paresthesia is a burning sensation that may affect limbs and extremities, ..
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Chapter 13 - Evaluation of the patient with "numbness"

The examination should be focused on detecting any areas of diminished sensation and the borders of this distribution. The main interest here is an attempt to define a pattern suggestive of a particular location of damage to the nervous system. It is good to have a reference available showing the approximate sensory distribution of peripheral nerves as well as nerve roots while examining patients. Broad or vague, sensory complaints with inconsistent distribution and borders are more likely to result from distorted sensory perceptions that often occur in patients with psychological distress or diffuse, chronic pain. In many such cases, you may be able to confirm of the nature of the paresthesia by magnifying or provoking the distal symptoms with maneuvers that do not directly impact the nervous system. For example, the patient complaining of paresthesias resulting from a chronic pain problem (such as fibromyalgia), will usually have “numbness” or paresthesias that are magnified by compression of painful sites in muscles, even when these maneuvers completely avoid pressing on nerves or stretching them. This finding requires evaluation of the chronic pain problem and not the “numbness.”

Different Causes and Treatments of Paresthesia! - …
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Numbness over the face is a relatively common hysterical presentation, reflecting psychiatric disease. This is especially true with perioral paresthesias. Often, the symptoms in these cases do not follow known anatomical nerve distributions and may appear at times of particular stress.

Different Causes and Treatments of Paresthesia
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