Red flags

 Dorothy has not got these symptoms. If you consult with a patient with the below they need

URGENT referral

  • Onset after trauma, surgery or systemic infection
  • Multiple areas involved or progressive symptoms
  • Additional behavioural or memory changes, or dizziness/headaches
  • Fever or other systemic upset
  • Disturbances of autonomous nervous system or objective muscular weakness
  • Patient is at high risk because of age, existing chronic conditions or lifestyle factors (Dr Tillmann Jacobi January 2021)