Paresis / Paraplegia / Quadriplegia

Menu

Paresis / Paraplegia / Quadriplegia

Progression

  • When did disease process start
  • Initial versus subsequent visit

Location

  • Right, left or bilateral
  • Identify dominant versus nondominant side when applicable

Acuity

  • Acute or chronic

Name

  • Specify site or type-congenital, psychogenic, bladder, bowel, eye, etc.
  • Differentiate between flaccid and spastic hemiplegia
  • Report the underlying cause-status post-stroke
  • Detail paraplegia and quadriplegia as being incomplete or complete
  • Clarify the quadriplegia level-C1-4, C5-7
  • Specify if current or sequela of an existing condition

Necessary Procedures

  • N/A

Other

  • N/A

Why

  • Underlying conditions-cerebral infarctions
  • If hemorrhage or embolic and site
  • Document functional quadriplegia