At the doctors Dr Wood asks Bob about his pain and examines him.
Case notes
Appointment – Dr Wood |
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| Past history: stroke 3 months ago. Osteoarthritis and back pain. Mild chronic kidney disease secondary to long-term use of non-steroidal anti-inflammatory drugs.
Current problem: burning pain down left side, especially in arm and hand; made worse by anything touching it; keeps patient awake; simple analgesia doesn’t help; feels tired and frustrated – pain affecting quality of life. Scored 10/10 on 10-point pain scale. Clinical findings: mild left hemiparesis; severe pain on pinprick and cold temperature testing left arm, less severe left leg. No cognitive or language deficits. Diagnosis: probable central post-stroke pain. |
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Dr Wood tells Bob he has central post stroke pain (CPSP). She explains to Bob and Jean what this is and gives them a patient information leaflet: Chest Heart & Stroke Scotland CPSP factsheet [PDF].
Stroke clinic Eastern General:
Consultant – Dr Wood
Past history: stroke 3 months ago. Osteoarthritis and back pain. Mild chronic kidney disease secondary to long-term use of non-steroidal anti-inflammatory drugs.
Current problem: burning pain down left side, especially in arm and hand; made worse by anything touching it; keeps patient awake; simple analgesia doesn’t help; feels tired and frustrated – pain affecting quality of life. Scored 10/10 on 10-point pain scale.
Clinical findings: mild left hemiparesis; severe pain on pinprick and cold temperature testing left arm, less severe left leg. No cognitive or language deficits.
Diagnosis: probable central post-stroke pain.
Page last reviewed: 02 Feb 2022
