A 32-year-old right hand dominant female presents to your cl…

A 32-year-old right hand dominant female presents to your clinic with a 3-month complaint of right-hand pain and paresthesia of the thumb, index, and middle fingers. She works in a retail sales office where she spends much of the day on the computer keyboard typing. The presence of which of the following findings on physical examination would suggest that the underlying condition was more advanced?

You are asked to evaluate a 38-year-old right hand dominant…

You are asked to evaluate a 38-year-old right hand dominant female who presents with complaints suggestive of possible carpal tunnel syndrome. After resting the elbows on a table and allowing the wrists to fall into complete volar flexion for one minute (see image below), the paresthesias that the patient has been experiencing are reproduced along the palmar surface of the thumb, index finger, middle finger, and part of the ring finger of the right hand. Based on this information, how would you document this finding in the patient’s chart?  

You are evaluating a patient with a knee effusion and subseq…

You are evaluating a patient with a knee effusion and subsequent synovial fluid analysis reveals the following findings: Fluid is pinkish-red and cloudy with WBC 2,800 (30% PMNs) and glucose level 18 mg/dL. Which of the following conditions would be a possible underlying cause of these synovial fluid results?

An 18-year-old college freshman presents with chronic fatigu…

An 18-year-old college freshman presents with chronic fatigue, as well as back pain and stiffness. He states the pain has been present for the past several months but appears to be worsening. His back symptoms are most severe at night and first thing in the morning and improve somewhat during the work day, when he is active. Based on this information, which of the following conditions is the most likely diagnosis for this patient?