Microclots Diagnosis Test

TEST FOR THE DIAGNOSIS OF SYMPTOMS OF HYPOPERFUSION, HYPERCOAGULABILITY AND MICROCLOTS SYNDROM - DIAGNOSTIC SCREENING QUESTIONNAIRE
(Dr. Gustavo Aguirre-Chang and Dr. Aurora Trujillo F.)

If you are not a medical professional using this diagnostic screening questionnaire and have difficulties understanding the text (because of potential 'brainfog' or reduced cognitive function, which is often the case when suffering from HHM Syndrom), it is recommended to seek support from a family member or caregiver. For the most accurate translation of medical terminology we recommend to use the free deepl.com translator.

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First Name *

Last Name *

Email *

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Country *

Date of birth *

Gender *

1. SIGNS OF HYPOPERFUSION AND HYPERCOAGULABILITY IN HANDS AND FEET.

In the last 6 months, have you presented any of the following signs on your hands or feet:

➢ Cyanotic, bluish or purplish skin, or cyanosis under the nails, or mottled skin with bluish or purplish areas and pale or whitish areas.

➢ Dark red or violaceous skin lesions located in the distant areas of the fingers, which are similar to erythema pernio, perniosis or chilblains.

➢ Slow capillary refill: the nail is pressed until it turns white, the pressure is removed and the time for the pink colour to return should not be more than 2 seconds.

Mark only one of the next 4 checkboxes (only one answer possible): *

No, I have not presented any of the 3 signs mentioned.

Yes, but I have only had it once or twice, and it lasted a few days.

Yes, I present them frequently, almost every day.

Yes, every day I present one of the 3 signs described.

2. SYMPTOMS OF STASIS OR STAGNATION OF BLOOD FLOW, WHICH INCREASES WITH IMMOBILITY DURING SLEEP.

In the last 6 months, have you had any of the following symptoms, especially when you wake up and get out of bed in the morning:

➢ Stiffness, lack of flexibility, numbness or difficulty moving the fingers of the hands, with greater discomfort or pain when making a fist with the hand and also with increasing cold.

➢ Tingling, numbness or feeling that one or both hands have "fallen asleep", with a sensation of small punctures as with pins or needles in all or part of the hands or fingers. It can be accompanied by pain that intensifies when moving the fingers, when making a fist and when performing any activity with the hands, such as dressing.

➢ Sensation of heaviness in the legs and feet and swelling in the calves.

Mark only one of the next 4 checkboxes (only one answer possible): *

No, I have not presented any of the 3 symptoms mentioned.

Yes, but I have only had it once or twice, and it lasted a few hours.

Yes, I present them frequently, but not every day.

Yes, every day I present one of the 3 symptoms described.

In patients with PASC/Long Covid and Post-Vaccine Covid Syndrome (PVACS) Since becoming ill you have shortness of breath (dyspnoea), and your oxygen saturation is:Mark only one of the next 3 checkboxes (only one answer possible): *

Between 92 to 94

Between 90 to 91

Less than 90

Your heart rate (HR) since becoming ill is: Mark only one of the next 2 checkboxes (only one answer possible): *

Between 100 to 120 bpm, 3 or + times a week, without exertion.

More than 120 bpm at least 3 times a week, without exertion, even at rest.