Template:DN4

From WikiMSK

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