Instructions
You are an intern in the hand surgery clinic. Lynette Gould, 59, has had numbness and tingling in her right hand for two years, now with weakness. Nerve conduction studies show severe median neuropathy at the wrist. The hand surgeon recommends carpal tunnel release.
Perform a focused examination
Explain your findings and the plan to Mrs Gould and obtain her consent for carpal tunnel release
- You do not need to take a history
- Please verbalise your examination; findings will be provided on request
Nerve conduction studies
Severe right median neuropathy at the wrist; ulnar nerve normal.