Finger Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of finger pain
Onset was , started
Location is
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Dominant hand:
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: ,
EXAM:
Hand:
Inspection:
Palpation: on of the finger(s)
Range of motion:
- Finger flexion:
- Finger extension:
- Finger abduction:
- Thumb opposition:
Strength: , except on finger(s)
Neurovascular: , cap refill sec, sensation
ASSESSMENT:
DDx: finger sprain, finger fracture, tendonitis, trigger finger, Dupuytren's contracture, ganglion cyst, osteoarthritis, psoriatic arthritis, rheumatoid arthritis, gout, septic arthritis, mallet finger, de Quervain's tenosynovitis, carpal tunnel syndrome, ulnar tunnels syndrome to the elbow, referred pain from cervical radiculopathy, Raynaud's phenomenon, skier's thumb, herpetic whitlow, paronychia, felon, hand eczema, nail bed injury
PLAN:
Investigations:
- X-ray of the hand
Treatments:
- Rest and activity modification
- Splinting of the affected finger for a short period of time
- Ice application
-
-
- Incision and drainage
- Steroid injection
- Physical therapy
- Occupational therapy
Further care:
- Referral to rheumatologist
- Referral to orthopedic surgeon
- Referral to hand surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as swelling or redness, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Hand: ASSESSMENT: PLAN: