Template:DN4: Difference between revisions

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|<html><input class="start-item" name="seven" type="radio" id="q7-n" value="10" onclick="window.startScore(this);" /></html>
|<html><input class="start-item" name="seven" type="radio" id="q7-n" value="10" onclick="window.startScore(this);" /></html>
|<html><input class="start-item" id="q7-y" name="seven" type="radio" value="0" onclick="window.startScore(this);" /></html>
|<html><input class="start-item" id="q7-y" name="seven" type="radio" value="0" onclick="window.startScore(this);" /></html>
|-
! colspan="3" | EXAMINATION OF THE PATIENT
|-
|colspan="3" |'''QUESTION 3'''
|-
| '''Is the pain located in an area where the physical examination may reveal one or more of the following characteristics?'''
| '''Yes'''
| '''No'''
|-
| Hypoaesthesia to touch
|<html><input class="start-item" name="eight" type="radio" id="q8-n" value="10" onclick="window.startScore(this);" /></html>
|<html><input class="start-item" id="q8-y" name="eight" type="radio" value="0" onclick="window.startScore(this);" /></html>
|-
| Hypoaesthesia to pinprick
|<html><input class="start-item" name="nine" type="radio" id="q9-n" value="10" onclick="window.startScore(this);" /></html>
|<html><input class="start-item" id="q9-y" name="nine" type="radio" value="0" onclick="window.startScore(this);" /></html>
| -
| colspan="3"|'''QUESTION 4'''
|-
| '''In the painful area, can the pain be caused or increased by:'''
| Yes
| No
|-
| Brushing
|<html><input class="start-item" name="ten" type="radio" id="q10-n" value="10" onclick="window.startScore(this);" /></html>
|<html><input class="start-item" id="q10-y" name="ten" type="radio" value="0" onclick="window.startScore(this);" /></html>
|-
|-
! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">Negative</span></div><div><span class="score">Score: 0</span></div></div>
! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">Negative</span></div><div><span class="score">Score: 0</span></div></div>

Revision as of 13:27, 6 April 2022

DN4 - Questionnaire
INTERVIEW OF THE PATIENT
QUESTION 1
Does the pain have one or more of the following characteristics? Yes No
Burning
Painful cold
Electric shocks
QUESTION 2
Is the pain associated with one or more of the following symptoms in the same area? Yes No
Tingling
Pins and needles
Numbness
Itching
EXAMINATION OF THE PATIENT
QUESTION 3
Is the pain located in an area where the physical examination may reveal one or more of the following characteristics? Yes No
Hypoaesthesia to touch
Hypoaesthesia to pinprick - QUESTION 4
In the painful area, can the pain be caused or increased by: Yes No
Brushing
Result
Negative
Score: 0