History

Question 1

Diabetic Neuropathy

Answer 1

• distal extremities, superficial burning pain (heat intolerance)
• Type II DM
• loss of balance
• impaired fine hand/eye coordination (ADL: jars, keys)
• GI: nausea/vom, dia/const, abdominal pain
• GU: difficulty/incomplete voiding

Question 2

Thoracic Outlet Syndrome

Answer 2

• numbness, tingling, pain in ulnar digits
• gradual onset
• ADLs of repetitive motion ipsilaterally
• DDx: carpal tunnel, Cx radiculopathy

Question 3

Kidney Stone/Infection

Answer 3

• “waves of pain”
• sharp, severe pain @ flank area, radiating around groin
• sudden onset
• abdominal pain, nausea/vom
• change in bathroom habits
• usually low water intake
• possible lightheadedness/weakness

Question 4

Carpal Tunnel Syndrome

Answer 4

• hand numbness
• insidious onset, gradual
• median nn distribution area
• decreased grip strength
• occupation: desk job
• overuse syndrome

Question 5

Angina/Myocardial Infarction

Answer 5

• pain after exertion, improving w rest (stable angina)
• radiates to inner arm or jaw (pre-infarct)
• pain lasting over 30 mins - more likely cardiac