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Patient complaints of pain in her right hand


Problem: An 18-year-old woman with no relevant past medical history presents to the hospital with complaints of pain in her right hand. She describes the pain as dull and throbbing. The pain started about 6 weeks ago and has gotten progressively worse. The patient is a division 1 swimmer and first noticed the pain during swim practice, specifically during overhead movements when her hand would enter the water. On examination, her vitals are blood pressure 135/85 mm Hg, heart rate 82 bpm, and respiratory rate 17 breaths/min. The local examination of the hand reveals slight atrophy of the intrinsic muscles, weakness in the hand, and mild sensory neurologic deficits. What is the most likely cause of the underlying condition? Need Assignment Help? A. Venous stasis B. Iatrogenic causes C. Overuse D. Muscles necrosis

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Other Subject: Patient complaints of pain in her right hand
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