N= Now P= Past
N P
q q Tick bite
q q Rash basically circular, sometimes spreading (rash occurs in less than 50% of Lyme patients, may be on body parts other than bite site)
Musculoskeletal System
q q Joint pain or swelling
q q Stiffness of joints, back, neck
q q Muscle pain or cramps
q q Creaking, cracking joints
q q Heel pain
q q Spinal sensitivity
q q Movement of pain or swelling to different joints
Neurologic System
q q Headache – persistent/severe
q q Bell’s Palsy (facial paralysis)
q q Burning or stabbing pains
q q Tremors or unexplained shaking
q q Numbness in body and/or extremities, tingling, pinpricks
q q Weakness or partial paralysis
q q Pressure in the head
q q Lightheadedness, wooziness
q q Poor balance, dizziness, difficulty walking
q q Increased motion sickness
q q Seizures, stroke symptoms
q q Restless legs
Mental Capability
q q Memory loss (short or long term)
q q Confusion, difficulty in thinking
q q Forgetting how to perform simple tasks
q q Speech difficulty (slurred or slow)
q q Stammering, stuttering speech
q q Going to the wrong place
Psychological well-being
q q Mood swings, irritability
q q Unusual depression
q q Panic-anxiety attacks
q q Overemotional reactions, crying easily
q q Aggression, rage
q q Too much sleep, insomnia
q q Difficulty falling or staying asleep
q q Obsessive-compulsive behavior
q q Suicidal thoughts
q q Paranoia
q q Disorientation (getting or feeling lost)
Head, Face, Neck
q q Stiff or painful neck
q q Headache, mild or severe
q q Twitching of facial or other muscles
q q Jaw pain or stiffness
q q Sore throat
q q Unexplained hair loss
q q Scalp rash
Eyes, Vision
q q Floaters
q q Double or blurry vision
q q Pain in eyes, or swelling around eyes
q q Light sensitivity
q q Flashing lights
q q Tearing and/or dry
q q Vision loss/Blindness
Ears/Hearing
q q Decreased hearing in one or both ears
q q Buzzing or ringing in ears (tinnitus)
q q Pain in ears
q q Sound sensitivity
Digestive and Excretory System
q q Diarrhea
q q Constipation
q q Irritable bladder (trouble starting, stopping)
q q Frequent urination
q q Upset stomach, vomiting
q q Bloating
q q Gastroesophageal reflux
Respiratory/Circulatory System
q q Shortness of breath
q q Chest pain or rib soreness
q q Night sweats or unexplained chills
q q Heart palpitations or extra beats
q q Heart block, heart attack
q q Valve prolapse, murmurs
Reproduction
q q Loss of sex drive
q q Sexual dysfunction
q q Unexplained menstrual pain, irregularity
q q Unexplained breast pain, discharge
q q Testicular or pelvic pain
General Well-being
q q Extreme fatigue
q q Symptoms change, come and go
q q Pain moves to different body parts
q q Unexplained weight gain or loss
q q Malaise
q q Chills
q q All types of rashes on the body and /or scalp
q q Swollen glands
q q Unexplained fevers (high or low grade)
q q Itching/hives
q q Continual infections (sinus, kidney, yeast, bladder, etc.)
q q Increased sensitivity to allergens
q q Exaggerated response to alcohol or sweets
q q Nodules under the skin
q q Early on, experienced a flu-like illness, after which you have not felt well since.