CASE STUDY 10 - Patricia Rider

Patricia Rider, age 42, came to the health clinic complaining of pain in her right hand and fingers for the past 2 months, especially at night. She works as a sewing machine operator at a local factory making men's pants. Ms. Rider thinks of herself as being in good health. She walks daily and follows a low-fat diet. Her family history is negative for cancer, arthritis, heart disease, and diabetes. Her physical examination reflects a positive Tinel sign (tingling sensation radiating from the wrist to the hand) with gentle tapping on the inside of her right wrist with a reflex hammer.

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