test |
reason |
date |
date |
results and comments |
Nerve Conduction Studies |
document type of pn |
|
|
slow? Yes/ No |
|
|
|
|
conduction block? Yes/No |
|
|
|
|
long distal latency? Yes/No |
|
|
|
|
axon loss? Yes/No |
|
|
|
|
motor nerve loss? Yes/No |
|
|
|
|
demylinating? Yes/No |
|
|
|
|
|
Somatosensory Evoked Potentials |
MS, cord involvement |
|
|
|
Visual Evoked Potentials |
MS |
|
|
|
MRI-brain |
MS |
|
|
|
|
|
|
|
|
Tilt Table |
Autonomic |
|
|
|
Sweat Test |
Autonomic |
|
|
|
Quantitative Sensory Testing |
document sensory loss |
|
|
|
Fat Aspirate |
Amyloid |
|
|
|
Sural Nerve biopsy |
vasculitis |
|
|
|
skin biopsy to count nerves |
document loss |
|
|
|
skin biopsy for immune complexes |
connective tissue w/u |
|
|
|
Spinal Stenosis Eval |
pressure on nerves in spine |
|
|
write major findings here |
MRIs |
|
|
|
|
cervical spine |
|
|
|
|
thoracic spine |
|
|
|
|
lumbar spine |
|
|
|
|
Flexion-Extension Xrays |
|
|
|
|
cervical spine |
|
|
|
|
thoracic |
|
|
|
|
lumbar |
|
|
|
|
Bladder Studies: |
|
|
|
|
cystometrics |
neurogenic bladder? |
|
|
|
Bowel Studies |
|
|
|
|
rectal manometry |
Neurogenic bowel? |
|
|
|
Gastric Emptying |
neurogenic stomach? |
|
|
|
Remember: Always ask for copies of your lab tests and record the results on the flow sheets. Keep sheets on your computer fill in by hand–whatever works for YOU! |