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Warning-sign checks

Polyarteritis nodosa: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for symptoms that could mean sudden loss of blood flow, major bleeding, stroke, or heart injury.

    These include:

    • Sudden, severe, or rapidly worsening abdominal, chest, or back pain
    • Vomiting blood, passing black stools, or heavy rectal bleeding
    • A drooping face, new one-sided weakness, speech difficulty, or confusion
    • Fainting, severe breathlessness, or crushing chest pressure
    • A limb that suddenly becomes very painful, cold, pale, or weak
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent medical advice for new nerve weakness, worsening abdominal pain after meals, a rapidly spreading skin ulcer, much less urine than usual, or a severe headache with very high blood pressure.

    If you take immune-suppressing medicine, seek prompt advice for fever or other signs of infection.

    The medicine may reduce your body's usual response to infection.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is the right place to discuss gradual tiredness, stable nerve pain, recovery, work, exercise, vaccination, pregnancy planning, or ongoing medicine side effects.

    Do not stop corticosteroids or other immune-suppressing medicines suddenly unless you have been told to do so.

Every sign above is quoted from the sofidex article on Polyarteritis nodosa. If you are not sure, err upward — it is always reasonable to be checked.