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  • Neuromuscular Disease Center Muscle/nerve/skin Biopsy Request Form 2003

Get Neuromuscular Disease Center Muscle/nerve/skin Biopsy Request Form 2003-2025

52044 : Medicare Provider # 26-8235 Internet Home Page http://www.neuro.wustl.edu/neuromuscular Referring institution Patient name Requesting physician Sex Send report to Date biopsy received NAME ADDRESS CITY, STATE, ZIP PHONE & FAX # Age DOB WU Lab accession # Bill charges to Labs other than Washington University: If we are billing patient, please provide insurance authorization number. Clinical Diagnosis & History Specimens & Site biopsied Surgeon INSTRUCTIONS Hand carried fresh.

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If the doctor sees something unusual about the muscle that was tested, he or she will run as many tests on that muscle as necessary to decide what type of muscle condition you have. The results can show conditions such as inflammation, swelling, muscle death, and loss of muscle mass.

Various diseases can cause muscle weakness or pain. These conditions may be related to problems with your nervous system, connective tissue, vascular system, or musculoskeletal system. A muscle biopsy helps determine the source of the disease process. This ensures the proper treatment.

Muscle biopsy is frequently necessary for diagnosis of myopathy. Many types of myopathy cannot be reliably distinguished from each other without muscle biopsy. Sometimes, muscle biopsy is even necessary in cases of myopathies caused by pathogenic mutations in known genes for which genetic testing is available.

Nerve biopsy is the removal of a small piece of nerve for examination. Through a small incision, a sample of nerve is removed and examined under a microscope. Nerve biopsy may be performed to identify nerve degeneration, identify inflammatory nerve conditions (neuropathies), or to confirm specific diagnoses.

Skin biopsies can help diagnose: Suspected small fiber sensory neuropathies in patients with unexplained burning, pain, numbness, or tingling in their feet or legs. The presence and severity of sensory neuropathy when nerve conduction studies and EMG are not diagnostic.

A muscle biopsy is done to find out why you are weak when the doctor suspects you have a muscle problem. A muscle biopsy may be done to help identify or detect: Inflammatory diseases of muscle (such as polymyositis or dermatomyositis) Diseases of the connective tissue and blood vessels (such as polyarteritis nodosa)

Muscle biopsy is an important tool for the evaluation and diagnosis of patients presenting to clinic with acute or progressive weakness who are suspected of having an underlying neuromuscular disorder.

Nerve biopsy: After the procedure, the area may feel tender or sore for a few days. The area around the biopsy site could remain numb for six to 12 months, perhaps even permanently. But because the location is very small, you may barely notice it. Muscle biopsy: You may be sore for about a week.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232