| If proximal and symmetric consider myopathy. Review medications for steroid and or statins. Consider discontinuing |
| If associated with facial weakness, ptosis or dysphagia, consider neuromuscular disorder, such as myasthenia gravis or motor neuron disease, such as ALS. Refer to Neurology Neuromuscular Clinic |
| Consider diabetes and other causes of peripheral neuropathy |
| Consider HIV risk |