Ask about any pain before examining.
A patient presents to ED with chest pain and this trace. What would you do?
Interpretation management
‘Reverse prayer’ sign for 1 minute (pain/paraesthesia = carpal tunnel syndrome)
Tap over the carpal tunnel (paraesthesia = carpal tunnel syndrome)
Ask patient to adduct their thumb to their palm and close fist around it; then tilt their wrist into ulnar deviation (pain = de Quervain’s tenosynovitis)
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A patient presents to ED with chest pain and this trace. What would you do?
Interpretation management
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Which nerve impingement would lead to a wrist drop and what could cause it?
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What examination findings in the hand and wrist would make you suspect rheumatoid arthritis?
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Please list some extra-articular manifestations of rheumatoid arthritis
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What is Felty’s syndrome?
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How would you differentiate between osteoarthritis and rheumatoid arthritis based on x-ray findings?
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A patient presents with trigger finger. Which conditions are associated with this finding?
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