Dr. Patric Gibbons: Today's case is that of a 43-year-old man who presented to the emergency department
(ED) with 2 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 2 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 when 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
Published online: March 13, 2023
Accepted:
March 7,
2023
Received:
February 20,
2023
Publication stage
In Press Uncorrected ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
