A thirty-eight-year-old bank teller presents with right wrist pain accompanied w

Question

A thirty-eight-year-old bank teller presents with right wrist pain accompanied with numbness and tingling in her right hand. She reports that the numbness and tingling has been going on for a few months. She describes a sudden sharp piercing shooting pain that travels through her wrist and up her arm. This pain is alternated with numbness. Lately, she is awakened from her sleep at night with numbness of her right hand which involves her thumb, index finger, middle finger, and half of her ring finger. She also states that she has difficulty clenching her face or grasping small objects such as her coffee cup and placing pins on stationary. Over the counter and analgesics and anti-inflammatory drugs provide her with only temporary relief. Her lack of sleep at night has started to interfere with her work. Upon further examination and Orthopedic evaluation she has a full range of motion on her wrist joint, but presents with significant wasting of her right thenar muscle.
1) what is a likely diagnosis of this condition?
2) what is the conclusive diagnosis method of this condition?
3) what type of predisposes patients to this condition?
4) what nerve is involved and how?

Explanation / Answer

1) what is a likely diagnosis of this condition?

Answer: Above patient has associated with “severe damage to median nerve innervating thumb and index finger" & damage of the motor nerves supplying the fingers from spinalchord. As a result the likely diagnosis has "carpal tunnel syndrome & peripheral neuropathy", in which sensation of the fingers have damaged followed by numbness and tingling

2) what is the conclusive diagnosis method of this condition?

Answer:

The wasting of her right thenar muscle & the pain is alternated with numbness. Lately, she is awakened from her sleep at night with numbness of her right hand, which involves her thumb, index finger, middle finger, and half of her ring finger. These symptoms are conclusive diagnosis method of this condition i.e. carpal tunnel syndrome & peripheral neuropathy
3) what type of predisposes patients to this condition?

Answer:

She is continuously experiencing the "pain" due to continuous work in bank so that right wrist pain accompanied with numbness and tingling in her right hand

Ques-4:

The distribution of median nerve damage is associated within the hand result in right wrist pain accompanied with numbness and tingling in her right hand

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.