Shingles – Pharmaease

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Please select an appropriate time for the pharmacist to conduct a video consultation with you to review your condition.

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Pharmacy First Assessment Form: Shingles.

To safeguard your health, it's crucial to identify any "red flag symptoms" that could signal a serious condition, such as meningitis, which would require immediate medical attention. Please confirm the absence of the following symptoms, which are critical to rule out:

Stiffness in the neck, sensitivity to light, or mottled skin, indicating the possibility of Meningitis is not present (for more information please click HERE)
Signs of disorientation or changes in behaviour, which could suggest Encephalitis, are not observed (for more information please click HERE).
Muscle weakness or loss of control over bladder or bowel functions, potential indicators of Myelitis, are not experienced (for more information please click HERE).
Paralysis of the facial nerve, often one-sided (Ramsay Hunt syndrome), is not evident (for more information please click HERE).
Shingles affecting the area around the eye (for more information please click HERE).
Hutchinson's sign, a rash on the tip, side, or root of the nose, has not appeared (for more information please click HERE).
There are no unexplained visual symptoms.
There is no unexplained redness in one or both eyes.
In cases of severe immunosuppression, Shingles have not been observed.
For immunosuppressed patients, there is no severe, widespread rash or systemic illness associated with Shingles.

By confirming the absence of these symptoms, we can effectively rule out these serious conditions from your diagnosis.

I confirm that the patients DOES NOT have any of the symptoms listed above.

If you are experiencing, or have experienced any of the above conditions in this period of illness please visit your local accident and emergency centre (A&E) IMMEDIATELY. You can find your nearest A&E by clicking on this link.
ALTERNATIVELY, IN AN EMERGENCY PLEASE CALL 999 IMMEDIATELY.

Shingles Symptom Checklist (Please select all that apply to you. This information is required.)(Required)

I have experienced abnormal skin sensations and pain in a specific area, which can be described as burning, stabbing, throbbing, itching, or tingling. This pain has been intermittent or constant.

Within 2-3 days following the onset of pain, I noticed a rash developing.

I have developed a fever and/or headache along with other symptoms.

The rash started as a group of red spots on a pink-red background, which quickly evolved into small fluid-filled blisters.

Some of the blisters have burst, or filled with blood or pus, followed by the area slowly drying, crusting, and scabbing over.

The rash covers a well-defined area of skin on one side of my body only (either right or left) and has not crossed over to the other side, following a dermatomal distribution.

None of the above conditions apply to me.

Please check the boxes next to the statements that apply to your current condition. This will help us determine the likelihood of a shingles diagnosis.

For more details on shingles, including images that illustrate typical symptoms, please click on the link provided.

Shingles less likely

If you don't show the specific symptoms listed, such as the distinctive rash, localized pain, or abnormal skin sensations in a dermatomal distribution, it's less likely that you have shingles. Shingles has a unique pattern of symptoms, including a rash that appears on one side of the body and progresses from red spots to fluid-filled blisters. Without these key indicators, the cause of your symptoms might be something other than shingles.Please contact the pharmacy on 01204 456390 or alternatively, please contact your GP to arrange an appointment.

To safeguard your health, it's crucial to identify any "red flag symptoms" that could signal a serious condition, such as meningitis, which would require immediate medical attention. Please confirm the absence of the following symptoms, which are critical to rule out:

Stiffness in the neck, sensitivity to light, or mottled skin, indicating the possibility of Meningitis is not present (for more information please click HERE)
Signs of disorientation or changes in behaviour, which could suggest Encephalitis, are not observed (for more information please click HERE).
Muscle weakness or loss of control over bladder or bowel functions, potential indicators of Myelitis, are not experienced (for more information please click HERE).
Paralysis of the facial nerve, often one-sided (Ramsay Hunt syndrome), is not evident (for more information please click HERE).
Shingles affecting the area around the eye (for more information please click HERE).
Hutchinson's sign, a rash on the tip, side, or root of the nose, has not appeared (for more information please click HERE).
There are no unexplained visual symptoms.
There is no unexplained redness in one or both eyes.
In cases of severe immunosuppression, Shingles have not been observed.
For immunosuppressed patients, there is no severe, widespread rash or systemic illness associated with Shingles.

By confirming the absence of these symptoms, we can effectively rule out these serious conditions from your diagnosis.

Do you have any emergency condition from the above?(Required)

Yes

You may have any emergency condition.

You may have an emergency please call Your health care provider or 999 right away.

Assessment form for Shingles

Please select an appropriate time for the pharmacist to conduct a video consultation with you to review your condition.

Pharmacy First Assessment Form: Shingles.

To safeguard your health, it's crucial to identify any "red flag symptoms" that could signal a serious condition, such as meningitis, which would require immediate medical attention. Please confirm the absence of the following symptoms, which are critical to rule out:

Important!

You are Pregnant individual

Shingles less likely

To safeguard your health, it's crucial to identify any "red flag symptoms" that could signal a serious condition, such as meningitis, which would require immediate medical attention. Please confirm the absence of the following symptoms, which are critical to rule out:

You may have any emergency condition.