A 58-year-old male presents to your office with left wrist pain for the past 3 months. He cannot recall any history of injury or trauma. He works as a car mechanic. He also has a new granddaughter who is 6 months old that he babysits every weekend. He is an amateur golfer when time allows. He does not have neck pain. He has no associated paresthesias or weakness. PMH is significant for mild HTN and chronic kidney disease with a baseline Cr of 2.5 mg/dL. Examination reveals normal sensation throughout bilateral upper extremities. Neck flexion/extension/rotation does not reproduce his symptoms. Strength testing is normal in bilateral upper extremities. There is no evidence of muscle wasting on examination of the hands. With the patient making a fist surrounding the thumb, ulnar deviation of the wrist produces pain over the distal radial styloid. Prolonged wrist flexion does not elicit pain. Palpation over the flexor surface of the wrist base does not reproduce the patient's symptoms. Pain is not elicited with resisted wrist extension or flexion. What is the most appropriate next step in management?Ask StudybuddyGroup of answer choicesCarpal tunnel corticosteroid injectionWrist splintThumb spica splintCounterforce forearm braceIbuprofen

A client first seen in your practice complains of pain in her wrist and demonstrates noticeable weakness in thumb opposition with parasthesis along the thenar, thumb, second and third digits on the palmer side of the hand. What is your suspected diagnosis?Group of answer choicesUlnar nerve injuryRadial nerve injuryMedian nerve injury

A previously healthy 24-year-old man is brought to the emergency department after a bicycle crash.  The patient was mountain biking downhill when he struck a prominent tree root and was thrown from his bike.  He tried to brace his fall with his hands, but his chest struck a large rock as he landed.  He did not hit his head or lose consciousness.  The patient has moderate central chest pain and severe right wrist pain.  Blood pressure is 142/86 mm Hg, pulse is 110/min, and respirations are 20/min.  Oxygen saturation is 98% on room air.  Physical examination is significant for sternal bruising with point tenderness, abrasions on both palms, and a deformed right wrist with an overlying laceration.  Breath sounds, heart sounds, and abdominal examination are normal.  Focused assessment with sonography for trauma is negative for free intraabdominal or pericardial fluid.  Noncontrast CT scan of the chest reveals a hairline sternal fracture.  Radiographs of the right wrist reveal a severely displaced, open fracture of the right distal radius.  The patient is hospitalized for operative irrigation, debridement, and fixation of the wrist fracture.  Throughout the day, the patient is noted to be persistently tachycardic even though he is afebrile and normotensive, with normal respirations and oxygen saturation.  Pain control is adequate.  ECG shows sinus tachycardia with frequent premature ventricular contractions.  Which of the following is the best next step in management of this patient?

Your patient a 14 year old soccer player fell on the soulder and neck after scorring a goal, when she had her legs swept out from under her by a defensive player. she is unable to move her right arm and in shoulder flexion and abduction, muscles are graded at 2/5 on assessment.  The shoulder in internally rotated and her hand is in waiters tip position after a week.  The shoulder MRI was normal.  What is the clinical diagnosis

Mr. Cummins, a 69-year-old White male, presents with an inability to move his right arm sufficiently and has weakness. Which condition does the APRN most likely suspect?Group of answer choicesGoutRheumatoid arthritis (RA)Generalized weaknessGeneralized weakness

Maria, age 68, has difficulty managing simple everyday tasks because of the painful swelling of the joints in her hands. What condition is Maria likely to be diagnosed with?