Carpal Tunnel Syndrome
Description
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Findings consistent with median nerve distribution of the right hand
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Possible carpal tunnel syndrome.
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Moderate thenar atrophy visible on the right hand in comparison with the opposite side.
Work-up
History
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Length of time that symptomatology has been present and has been affecting the patient throughout the day.
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Measures previously taken to prevent symptoms (e.g., splinting, positioning, avoidance of activities).
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Pertinent symptoms consistent with nerve compression
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Nocturnal pain, numbness, tingling in the thumb and one or more radial fingers.
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Daytime paresthesias elicited with activities involving prolonged wrist flexion and/or extension.
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Need for shaking and wringing the hands to alleviate symptoms.
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Gritty sensation or numbness in fingers, grip and pinch weakness, diminished finger dexterity with a history of dropping objects.
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Cold intolerance, dryness, and unusual textures in the radial digits.
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