musculoskeletal

Question 1

• Carpel tunnel characteristics called?

Answer 1

• Also called “wake and shake syndrome”
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Question 2

Tinel’s sign:

Answer 2

tapping the anterior wrist briskly causes pins and needles sensation along the median nerve

Question 3

Phalen’s sign:

Answer 3

flex both hands against each other for 1 min; positive if tingling down median nerve

Question 4

cause of carpal tunnel

Answer 4

Caused by entrapment neuropathy of the median nerve at the wrist
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Question 5

s/sx of carpal tunnel

Answer 5

s/s: gradual onset (wks to months); paresthesia on the thumb, index finger, and middle finger areas; weak grip; hx occupation/hobby with repetitive hand movements
* aching sensation that radiates into the thenar area (base of the thumb)
* Hallmark symptom-nighttime awakening with pain and numbness

Question 6

tests for carpal tunnel

Answer 6

• Most useful dx test is a median nerve conduction velocity study ($$$)
• Tinel’s sign
• Phalen’s sign