HISTORY:
hand pain for
Onset: , following
Location:
Radiation:
Severity: , / 10
Type:
Pattern: ,
Worsening factors:
, up to °, over
Treatments tried: ,
Occupation:
Dominant hand:
Other elements:
EXAM:
Hand:
- Inspection:
- Palpation: on of the finger(s)
- Range of motion:
- Finger flexion:
- Strength: , except on finger(s) , grip
- Neurovascular: , cap refill sec, sensation
ASSESSMENT:
DDx:
PLAN:
- X-ray of the hand
- MRI of the hand
- Blood work: , , , , , ,
- Nerve conduction study
-
-
- Physical therapy
- Occupational therapy
- Wrist splint for carpal tunnel syndrome
- Referral to orthopedic surgeon
- Referral to hand surgeon
- Referral to rheumatologist
- Referral to neurologist
- Follow-up in
- Return if pain worsens, if new symptoms develop such as weakness or numbness, or if symptoms do not improve with treatment