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The wrist is composed of eight carpal bones that are held in alignment by a series of ligaments and cartilaginous connective tissue. Wrist pain is fairly common in primary care. Although carpal tunnel syndrome is one of the most common etiologies of wrist pain, pain and numbness in the... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... An anatomic breakdown of the arm into its components is the key to a sound differential diagnosis in arm pain. Pain may be referred from more proximal portions of the extremity such as the shoulder (e.g., bursitis) or brachial plexus (e.g., cervical rib),
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. (See Causes of local pain.) In some cases, it may be referred pain from another area, such as the chest, neck, or abdomen. Its location, onset, and... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. (See Causes of localized arm pain, page 74.) In some cases, arm pain may be referred from another area, such as the chest, neck, or... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... In wristdrop, the hand remains in a flexed position from paresis of the extensor muscles of the hand, wrist, and fingers. This weakness may be slight or severe and temporary or permanent. Wristdrop may occur unilaterally and suddenly after a radial nerve... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Differential Overview
Phenomena
❑ Wrist sprain
❑ Paronychia
❑ Ganglion cyst
❑ Carpal tunnel syndrome ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. In some cases, it may be referred pain from another area, such as the chest, neck, or abdomen. Its location, onset,... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Arm pain usually results from musculoskeletal disorders, but it can also stem from neurovascular or cardiovascular disorders. (See Causes of local pain, page 52.)
In some cases, it may be referred pain from another area, such as the chest, neck, or abdomen. Its location,... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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An anatomic breakdown of the arm into its components is the key
to a sound differential diagnosis in arm pain. Pain may be referred from
more proximal portions of the extremity such as the shoulder (e.g.,
bursitis)... Pictures
... READ EXCERPTS »