Hand Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of hand 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*
, up to °, over
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: carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis, ganglion cyst, trigger finger, Dupuytren's contracture, scaphoid fracture, wrist sprain, tendonitis, rheumatoid arthritis, psoriatic arthritis, metacarpal fracture, finger fracture, Raynaud's phenomenon, ulnar tunnel syndrome, intersection syndrome, skier's thumb, collateral ligament injury, septic arthritis, cellulitis, flexor tenosynovitis, referred pain from cervical radiculopathy, complex regional pain syndrome, vascular insufficiency, neuropathy
PLAN:
Investigations:
- X-ray of the hand
- MRI of the hand
- Blood work: , , , , , ,
- Nerve conduction study
Treatments:
-
-
- Physical therapy
- Occupational therapy
- Wrist splint for carpal tunnel syndrome
Further care:
- Referral to orthopedic surgeon
- Referral to hand surgeon
- Referral to rheumatologist
- Referral to neurologist
- Follow-up in
- Return if pain worsens, if new symptoms develop such as weakness or numbness, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Hand: ASSESSMENT: PLAN: