Finger Pain

HISTORY:

‍RightLeft ‍ finger pain for ‍ ‍hoursdays

Onset: ‍gradualsuddentraumatic, following ‍ ‍

Location: ‍diffuse

Radiation: ‍none

Severity: ‍mildmoderatesevere, ‍012345678910 / 10

Type: ‍dullaching

Pattern: ‍constantintermittent, ‍worse at night

Worsening factors: ‍none

‍weakness

‍numbness

‍tingling

‍limited range of motion

‍finger locking

‍popping or clicking sensation

‍swelling

‍warmth

‍redness

‍changes in color

‍discharge

Treatments tried: ‍none, ‍effectiveineffective

Occupation: ‍

Dominant hand: ‍rightleftboth



EXAM:

Finger: ‍1st2nd3rd4th5th ‍rightleft

- Inspection: ‍normal

- Palpation: ‍no tenderness on ‍dorsal aspectvolar aspect

- Range of motion: ‍full

- Strength: ‍intact 5/5, except ‍4/5 on ‍1st2nd3rd4th5th finger(s) ‍ ‍due to pain, grip ‍intact

- Neurovascular: ‍intact, cap refill ‍< 3> 3 sec, sensation ‍intact



ASSESSMENT:

‍Finger sprain ‍likelysuspectedpossible

DDx: ‍



PLAN:

- X-ray of the hand

- Rest and activity modification

- Splinting of the affected finger for a short period of time

- Ice application

- ‍NSAIDs

- ‍Antibiotics

- Incision and drainage

- Steroid injection

- Physical therapy

- Occupational therapy

- Referral to rheumatologist

- Referral to orthopedic surgeon

- Referral to hand surgeon

- Follow-up in ‍ ‍weeksmonths

- Return if pain worsens, if new symptoms develop such as swelling or redness, or if symptoms do not improve with treatment