Hand Injury
HISTORY:
hand injury sustained ago
Event:
Location:
Radiation:
Severity: , / 10
Type:
Pattern:
Worsening factors:
Treatments tried: ,
Tetanus vaccination:
Occupation:
Dominant hand:
Other elements:
EXAM:
Hand:
- Inspection:
- Palpation: on of the finger(s)
- Range of motion:
- Finger flexion:
- Strength: , except on finger(s) , grip
- Neurovascular: , cap refill sec, sensation
ASSESSMENT:
DDx:
PLAN:
- Hand X-ray
- CT scan of the hand
- MRI of the hand
- Rest and elevation
- Ice application
- Compression bandage
- Splinting of the hand
-
-
- Physical therapy
- Occupational therapy
- Tetanus vaccine
- Referral to orthopedic surgeon
- Referral to hand surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
- Go to ER if severe pain, inability to move the hand, or fever occurs