CTS

Question 1

task

Answer 1

657

Question 2

hx

Answer 2

-introduction
-describe
-site: on the thumb, index, middle part
-onset: when is it worse?during night
-anything that aggravates: when using hand, nSAID
-relieving : shaking the hand
-dm,hypothyroidism
-any neck pain, trauma
-SADMA
-PMHS
-SOCIAL

Question 3

PEFE

Answer 3

cotton wool test
-tinels sigsn
-motor funtion : palmar abduction by abductor pollicis brevis

Question 4

explanation

Answer 4

-compression of median nerve, narrow space in wrist
-asst with fluid retention(NSAID use) rarelt DM, hypothyroid, acromegally
-nocturnal pain maybe due to fluid retention
dx
-stres depn on clinical features
-if doubt can do NCS, x-ray wrist, neck

Question 5

mx

Answer 5

-splint wrist at night
-diuretic
-local steroid: some risk with usg
-surgical decompression by division of flexor retinaculum