Patient case: Carpal Tunnel Syndrome
A 45-year-old woman presents with a 6-month history of intermittent numbness and tingling in her right hand, particularly affecting the thumb, index, and middle fingers. She reports that the symptoms worsen at night, often waking her up from sleep, and are sometimes alleviated by shaking her hand. Over the past month, she has also noticed weakness in her grip, making it difficult to hold objects, such as her phone or a coffee cup.
She works as a data entry clerk, spending long hours typing, and has no significant past medical history. On physical examination, there is reduced sensation in the affected fingers, and positive Tinel's and Phalen's signs are noted.
Based on her clinical presentation, she is diagnosed with carpal tunnel syndrome, likely exacerbated by repetitive hand movements from her occupation. Conservative management, including wrist splinting and activity modification, is recommended, with a potential referral for further evaluation if symptoms persist.
a). Pain in the shoulder
b). Numbness and tingling in the thumb, index, and middle fingers
c). Swelling in the wrist
d). Redness and warmth over the wrist joint
a). Heavy lifting
b). Prolonged typing and data entry work
c). Frequent walking and standing
d). Exposure to cold environments
a). Patellar reflex
b). Tinel’s sign
c). Babinski's sign
d). Lachman’s test
a). Surgery
b). Wrist splinting and activity modification
c). Corticosteroid injections
d). Physical therapy for the shoulder
