A 58 year old Afro-Caribbean shop keeper who complains of pain, numbness and weakness in her right hand ongoing for three years.
The pain is felt in the palmar aspect of the lateral 3 1/2 digits of the right hand, it is constant and sometimes wakes her at night. The finger tips are completely numb. At work, she does everything using the other hand because the right hand is too weak to grip things and is very clumsy. She has a history of hypertension and arthritis. In the past she had received steroid injection in the wrist which produced temporary relief.
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The pain is felt in the palmar aspect of the lateral 3 1/2 digits of the right hand, it is constant and sometimes wakes her at night. The finger tips are completely numb. At work, she does everything using the other hand because the right hand is too weak to grip things and is very clumsy. She has a history of hypertension and arthritis. In the past she had received steroid injection in the wrist which produced temporary relief.
For the rest of the scenaro, please click here.
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