1.	Unexplained skin changes: Fevers  Sweats  Chills  Flushing 
2.	Unexplained weight change: Weight loss  Weight gain 
3.	Fatigue  Tiredness 
4.	Unexplained hair loss 
5.	Swollen glands 
6.	Sore throat 
7.	Testicular pain  Pelvic pain 
8.	Unexplained menstrual irregularity 
9.	Unexplained milk production  Unexplained breast pain 
10.	Urinary problems: Irritable bladder  Bladder dysfunction 
11.	Sexual difficulties: Sexual dysfunction  Loss of libido (desire) 
12.	Upset stomach 
13.	Change in bowel function: Constipation  Diarrhea 
14.	Chest pain  Rib soreness 
15.	Shortness of breath  Cough 
16.	Heart palpitations  Pulse skips  Heart block 
17.	Any history of a heart murmur or valve prolapse? Yes  No 
18.	Joint pain or swelling? Yes  No  List joints:

19.	Stiffness: Joints  Neck  Back 
20.	Muscle pain  Cramps 
21.	Twitching: Face  Other muscles 
22.	Headache 
23.	Neck creaks  Neck cracks  Neck stiffness 
24.	Tingling  Numbness  Burning  Stabbing sensations 
25.	Facial paralysis (Bell's Palsy) 
26.	Eyes/Vision: Double vision  Blurry  Pain  Increased floaters 
27.	Ears/Hearing: Buzzing  Ringing  Ear pain 
28.	Increased motion sickness  Vertigo 
29.	Lightheadedness  Wooziness  Poor balance  Difficulty walking 
30.	Tremor 
31.	Confusion  Difficulty in thinking 
32.	Difficulty with concentration  Difficulty reading 
33.	Forgetfulness  Poor short term memory 
34.	Disorientation: Getting lost  Going to wrong places 
35.	Difficulty with speech  Difficulty writing 
36.	Mood swings  Irritability  Depression 
37.	Disturbed sleep: Too much  Too little  Early awakening 
38.	Exaggerated symptoms or worse hangover from alcohol 

Article: When to Suspect Lyme by John D. Bleiweiss, M.D.