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UMHS Home/Logo Consult Request Guidelines

for New Arm Or Hand Weakness Without Sensory Loss/Change

   
New Arm Or Hand Weakness Without Sensory Loss/Change
Suggested Pre-Referral Evaluation and Management Guidelines
Ask about history of poliomyelitis and cancer
  • If symmetrical and proximal, consider myopathy. Review meds.
  • If malar rash consider dermatomyositis
    Suggested Additional Test/Management Prior to Specialty Visit
  • Refer to PM&R for EMG for neuropathy, motor neuron disease, myopathy (inflammatory vs. non inflammatory)
  • If muscle disease suspect, obtain CPK, CBC, TSH, T 4, WESR
  • If on steroids and or statins, consider discontinuing
    Patient Education/Information (includes preps)  
    Appointment Timeframe  
    How to Get Results to Consultant UMHS Patients: See CareWeb
    External Patients: hand carry medical records and clinic notes to visit
    Clinic Contact Information Physician: 800-962-3555
    Patient: 734-936-7175
    Clinic Location Sites Burlington Building - Ann Arbor
    UM Consulting Physician Adult Rehabilitation Clinic Faculty
    Revised on: 10/07/2009