HSP patients were reviewed and examined by a neurologist (C.M.S .. Specific questioning to confirm the age of onset, disease duration, family history, use of walking aids and sphincter dysfunction was performed.
Although complex or less clear cognitive changes are particularly susceptible to recall biases, the results clearly indicate that certain cortical dysfunctions must be largely underestimated in migraine because specific questioning is not part of the routine clinical evaluation.
This can be attributed in part to a lack of specific questioning on this topic, although the semistructured interview schedule did prompt respondents on human rights in many instances.
On specific questioning, a history of post coital or inter-menstrual bleeding was elicited from one of 5 subjects with invasive cancer, none of 21 with biopsy proven CIN 2+, 13 of 182 with normal or low grade pathology on biopsy, and 18 of 291 subjects for whom no biopsy was taken.
The notably higher estimates in case series for blurred vision and nausea and/or vomiting similarly may have been influenced by the use of specific questioning and interviewing in regards to adverse effects [ 68], and incomplete reporting, such as the use of generic statements [ 72].
These questions were used during all the interviews as well as specific questioning used for clarification of information.
Review of a glucose diary and specific questioning about such episodes of severe hypoglycemia were carried out at each visit.
Furthermore, data of adverse events were a mixture of spontaneous reporting and specific questioning.
Routine follow-up included a postoperative visit at 4 8 weeks where a physical examination was performed, and enquiries regarding return to activities of daily living and specific questioning regarding bowel, bladder, and sexual function were made.
If they are waffling, politely redirect the interview with some specific questioning.
