Quick Lyme Checklist
The Quick Lyme Checklist:
This was the initial checklist that led to my Lyme diagnosis. It is based on the Burrascano “Guidelines”. Keep a tally of the “yes” responses. Although many of these symptoms are common or indicative of other things, a number of them may suggest the need for further evaluation. (My own count was 18 out of 46.) If you prefer a printed working copy, click here.
As part of your symptoms, have you had any of the following?
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Responses:
|
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|---|---|---|---|
| 1. | Tick Bite (deer tick or dog tick?) |
Yes
|
No
|
| 2. | Rash at bite site |
Yes
|
No
|
| 3. | Rashes at other sites |
Yes
|
No
|
| 4. | Joint/muscle pain in feet |
Yes
|
No
|
| 5. | Swelling in toes, balls of feet |
Yes
|
No
|
| 6. | Ankle pain |
Yes
|
No
|
| 7. | Burning in feet |
Yes
|
No
|
| 8. | Shin splints |
Yes
|
No
|
| 9. | Unexplained fevers, sweats, chills |
Yes
|
No
|
| 10. | Unexplained weight change (loss or gain) |
Yes
|
No
|
| 11. | Fatigue, tiredness |
Yes
|
No
|
| 12. | Unexplained hair loss |
Yes
|
No
|
| 13. | Swollen glands |
Yes
|
No
|
| 14. | Sore throat |
Yes
|
No
|
| 15. | Testicular pain / pelvic pain |
Yes
|
No
|
| 16. | Unexplained menstrual irregularity |
Yes
|
No
|
| 17. | Unexplained milk production (lactation) |
Yes
|
No
|
| 18. | Irritable bladder or bladder dysfunction |
Yes
|
No
|
| 19. | Sexual dysfunction or loss of libido |
Yes
|
No
|
| 20. | Upset stomach |
Yes
|
No
|
| 21. | Change in bowel function (constipation, diarrhea) |
Yes
|
No
|
| 22. | Chest pain or rib soreness |
Yes
|
No
|
| 23. | Shortness of breath, cough |
Yes
|
No
|
| 24. | Heart palpitations, pulse skips, heart block |
Yes
|
No
|
| 25. | Joint pain or swelling |
Yes
|
No
|
| 26. | Stiffness of the joints, neck or back |
Yes
|
No
|
| 27. | Muscle pain or cramps |
Yes
|
No
|
| 28. | Twitching of the face or other muscles |
Yes
|
No
|
| 29. | Headache |
Yes
|
No
|
| 30. | Neck creaks and cracks, neck stiffness |
Yes
|
No
|
| 31. | Tingling, numbness, burning or stabbing sensations |
Yes
|
No
|
| 32. | Facial paralysis (Bell’s Palsy) |
Yes
|
No
|
| 33. | Eyes/vision: double, blurry, pain, increased floaters |
Yes
|
No
|
| 34. | Ears/hearing: buzzing, ringing, ear pain |
Yes
|
No
|
| 35. | Dizziness, poor balance, increased motion sickness |
Yes
|
No
|
| 36. | Lightheadedness, wooziness, difficulty walking |
Yes
|
No
|
| 37. | Tremor |
Yes
|
No
|
| 38. | Confusion, difficulty in thinking |
Yes
|
No
|
| 39. | Difficulty with concentration or reading |
Yes
|
No
|
| 40. | Forgetfulness, poor short term memory |
Yes
|
No
|
| 41. | Disorientation: getting lost, going to wrong places |
Yes
|
No
|
| 42. | Difficulty with speech |
Yes
|
No
|
| 43. | Mood swings, irritability, depression |
Yes
|
No
|
| 44. | Disturbed sleep: too much, too little, early awakening |
Yes
|
No
|
| 45. | Exaggerated symptoms or worse hangover from alcohol |
Yes
|
No
|
| 46. | Any history of heart murmur or valve prolapse? |
Yes
|
No
|
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TOTAL SCORE:
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Hello Itamar, this is the quiz