Print This Page     Close Window 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