Chief Complaint (CC): Complaint of pain to the right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks.
History of Present Illness (HPI): T. M is a 47-year-old obese African American female who present at the clinic with a complaint of pain to the right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks. The patient voiced an upsurge in pain whilst at work. The patient is a hairstylist and she indicated that the pain interferes with her utilizing her hair equipment’s which spearheads to her dropping them. …show more content…
While the patient is obese and at peril for diabetes, diabetic neuropathy could be ruled out since the patient is negative for diabetes per the Hgb A1C. Likewise, cervical radiculopathy could be ruled out since the patient is not undergoing any neck pain or stiffness and the MRI was negative for any pinched nerve to the C-spine. Medial Epicondylitis can be ruled out since the patient is not undergoing pain in the elbow. This condition witnessed in golfers, which the patient do not perform or play. Hematoma of the volar wrist could likewise be ruled out since the x-ray was negative for fractures. There is no discoloration noted during analysis to the wrist area or swelling. This condition most frequently happens once there has been a wrist injury or fracture. It is essential that the advanced nurse practitioner is adept in understanding with the ability to appropriately diagnose, treat, and aid the patient in living a comfortable life without distress, which piloting noteworthy healthcare advantage, related to social and economic position (Alfonso, Jann, Massa, & Torreggiani, 2010). Physical therapy and splint usage, cold and hot compression interchange could be suggested, and non-steroid anti-inflammatory can be a script with adequate education to avert deterioration of the nerve