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A 50 year old patient C/o pain radiating down the elbow with pins and needles sensation until the R thumb .Likely source of pain1 pointC6 nerve rootshoulder cuff tearC5 nerve rootReferred pain from Liver

Question

A 50 year old patient C/o pain radiating down the elbow with pins and needles sensation until the R thumb .Likely source of pain1 pointC6 nerve rootshoulder cuff tearC5 nerve rootReferred pain from Liver

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Solution

The symptoms described by the patient, such as pain radiating down the elbow and pins and needles sensation until the right thumb, are indicative of a nerve root problem. This is likely due to a cervical radiculopathy, which is a disorder resulting from a pinched nerve in the cervical spine (neck).

The C6 nerve root is the one that supplies the thumb side of the hand. Therefore, the likely source of pain in this case is the C6 nerve root.

Here are the steps to arrive at this conclusion:

  1. Identify the symptoms: The patient is experiencing pain radiating down the elbow and pins and needles sensation until the right thumb.

  2. Understand the anatomy: The C6 nerve root is responsible for providing sensation to the thumb side of the hand.

  3. Make the connection: Given the patient's symptoms and the area of the body they are affecting, it is likely that the C6 nerve root is the source of the pain.

Please note that a definitive diagnosis should be made by a healthcare professional after a thorough examination and necessary investigations.

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