Lady feels pain, tingling, weakness and loss of sensation on 1st, 2nd and 3rd digits. - USMLE Forums
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  #1  
Old 03-21-2012
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Question Lady feels pain, tingling, weakness and loss of sensation on 1st, 2nd and 3rd digits.

NOTE: this is a USMLE Consult-"inspired" question, so look away if you plan on using USMLE Consult as a measure of your progress.


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A 40-year-old woman developed pain and tingling in her right thumb, index finger, and middle finger over the last 5 weeks that occasionally radiated into her right arm and forearm. She also noticed some decreased sensation of the fingertips of the same fingers. Neurologic examination revealed reduced pinprick in the palmar aspect of the right first, second, and third fingers. What is the most likely diagnosis?

A. Right carpal tunnel syndrome
B. Right C3 nerve root compression
C. Right thoracic outlet syndrome
D. Right herniated disk at C4-C5
E. Right compression of ulnar nerve

(please explain your choice).
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Old 03-21-2012
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Right carpel tunnel syndrome
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Old 03-21-2012
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it has to be A.
B - C3 isn't [articipating in Brachial plexus formation
C - There has to be problems like erb's palsy + subclavia compression clinic
d - doubdet about it but in this case deltoid muscle weaknes has to be mentioned
e - Ulnar nerve is other side of fingers

tingling + median nerve inervation distribution + decreased sensation ....
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Old 03-21-2012
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carpal tuneel it was easy man get some difficult ones down here

by the way i like ur questions
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Old 03-21-2012
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Nick Rivera was well known for finding the trickiest and most doubtful questions...
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Old 03-21-2012
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Btw dr.nick is my favorable character

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Old 03-21-2012
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so the "occasionally radiated into her right arm and forearm" didnt throw you guys off like it did me eh? good job guys.

answer is A.
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Old 03-21-2012
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A. because my mom has used to suffer from it
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