Diagnosis of Thumb sucking
Thumb sucking Diagnosis: Book Excerpts
Diagnostic Tests for Thumb sucking: Online Medical Books
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HAND AND FINGER PAIN:
Approach to the Diagnosis
(Differential Diagnosis in Primary Care)
In diagnosis, most of these conditions will be obvious on inspection. The difficulty arises when the hand looks normal. Then one must check for the following:
- Carpal tunnel syndrome by tapping the volar aspect of the wrist (Tinel sign)
- Brachial plexus neuralgia and scalenus anticus syndrome by Adson tests
- Causalgia by stellate ganglion block to see if pain is relieved
- Cervical spine disease by a roentgenogram, possibly a myelogram or MRI, and nerve blocks of the various roots. Referral to a neurologist is often necessary. In early rheumatoid arthritis, the joints may be normal on inspection but pain and stiffness of the hands and fingers in the morning is an excellent clue.
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Source: Differential Diagnosis in Primary Care, 2007
HAND AND FINGER PAIN:
Approach to the Diagnosis
(Differential Diagnosis in Primary Care)
In diagnosis, most of these conditions will be obvious on inspection.
The difficulty arises when the hand looks normal. Then one must check for
the following:
-
Carpal tunnel syndrome by tapping the volar aspect of the wrist
(Tinel sign)
- Brachial plexus neuralgia and scalenus anticus syndrome by Adson
tests
- Causalgia by stellate ganglion block to see if pain is relieved
- Cervical spine disease by a roentgenogram, possibly a myelogram or
magnetic resonance imaging (MRI), and nerve blocks of the various roots.
Referral to a neurologist is often necessary. In early RA, the joints may be
normal on inspection, but pain and stiffness of the hands and fingers in the
morning is an excellent clue.
» READ BOOK EXCERPT ONLINE »
Source: Differential Diagnosis in Primary Care, 2007
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