Dr. Patric Gibbons: Today's case is that of a 43-year-old man who presented to the emergency department (ED) with two weeks of right-hand pain. He described the pain as dull and cramping with occasional severe sharp pain which at times radiated up his arm to his shoulder. The pain had been waxing and waning over the last two weeks. There was no history of antecedent trauma; he stated he first noticed the pain when waking from sleep. He denied numbness or tingling but stated there were transient periods where he felt like the strength in his hand was reduced. He also noticed one episode several days ago where his fingers in that hand turned blue, but this spontaneously resolved after several minutes. He noted that his strength, sensation, and color to his hand felt at baseline in the ED, but he has a persistent dull ache localized to the right hand.
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Accepted: March 7, 2023
Received: February 20, 2023
Publication stageIn Press Accepted Manuscript
© 2023 Published by Elsevier Inc.