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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Article info
Publication history
Accepted:
March 7,
2023
Received:
February 20,
2023
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Published by Elsevier Inc.
