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【Weekly Medical Questions】is a new online column of "NEJM Medical Frontiers".
This column is based on NEJM Knowledge+, a sister product of the New England Journal of Medicine.
It pushes a question every Wednesday and announces the answers and detailed explanations on the next day.
The questions and content seem simple, but they are the core knowledge points and error-prone points of clinical practice; correct answers are not the goal, mastering the main points is the kingly way.
Ask the doctor every week to help you draw up the key points and save you time! Everyone is welcome to leave a message in the comments section.
Your valuable comments and suggestions will be our best help! A 43-year-old woman complained of tingling in the first three fingers on the radial side of the right hand, numbness with right hand, occasional pain and weakness in the right upper limb for 6 weeks.
There is no obvious abnormality in the past history.
Physical examination: the range of motion of the neck was normal, and the Tinel sign of the wrist was negative.
The muscle strength of the right biceps, pronator teres and brachioradialis was slightly weakened.
The intrinsic muscle strength of the hand is normal.
Loss of sensation in thumb and index finger.
The biceps reflex disappeared, and the rest of the reflexes were normal.
Other physical examination results were normal.
Which of the following is the most likely diagnosis for this patient? A Carpal tunnel syndrome B C6 Cervical radiculopathy C Thoracic spinal radiculopathy D Cervical spinal cord injury/C1 lesion caused myelopathy E C8 Cervical radiculopathy The answer to the question is actually hidden in the question stem and abstract.
Do you have the answer? If you are not sure, you can share the content with your friends, and the discussion can make people think more clearly.
While answering the questions, please leave a message with your answers and diagnosis and treatment ideas to us.
The answer will be announced tomorrow, and we will see or leave! Copyright information This article was translated, written or commissioned by the "NEJM Frontiers in Medicine" jointly created by Jiahui Medical Research and Education Group (JMRE) and "New England Journal of Medicine" (NEJM).
The Chinese translation of the full text and the included diagrams are exclusively authorized by the NEJM Group.
If you need to reprint, please leave a message or contact nejmqianyan@nejmqianyan.
cn.
Unauthorized translation is an infringement, and the copyright owner reserves the right to pursue legal liabilities.
This column is based on NEJM Knowledge+, a sister product of the New England Journal of Medicine.
It pushes a question every Wednesday and announces the answers and detailed explanations on the next day.
The questions and content seem simple, but they are the core knowledge points and error-prone points of clinical practice; correct answers are not the goal, mastering the main points is the kingly way.
Ask the doctor every week to help you draw up the key points and save you time! Everyone is welcome to leave a message in the comments section.
Your valuable comments and suggestions will be our best help! A 43-year-old woman complained of tingling in the first three fingers on the radial side of the right hand, numbness with right hand, occasional pain and weakness in the right upper limb for 6 weeks.
There is no obvious abnormality in the past history.
Physical examination: the range of motion of the neck was normal, and the Tinel sign of the wrist was negative.
The muscle strength of the right biceps, pronator teres and brachioradialis was slightly weakened.
The intrinsic muscle strength of the hand is normal.
Loss of sensation in thumb and index finger.
The biceps reflex disappeared, and the rest of the reflexes were normal.
Other physical examination results were normal.
Which of the following is the most likely diagnosis for this patient? A Carpal tunnel syndrome B C6 Cervical radiculopathy C Thoracic spinal radiculopathy D Cervical spinal cord injury/C1 lesion caused myelopathy E C8 Cervical radiculopathy The answer to the question is actually hidden in the question stem and abstract.
Do you have the answer? If you are not sure, you can share the content with your friends, and the discussion can make people think more clearly.
While answering the questions, please leave a message with your answers and diagnosis and treatment ideas to us.
The answer will be announced tomorrow, and we will see or leave! Copyright information This article was translated, written or commissioned by the "NEJM Frontiers in Medicine" jointly created by Jiahui Medical Research and Education Group (JMRE) and "New England Journal of Medicine" (NEJM).
The Chinese translation of the full text and the included diagrams are exclusively authorized by the NEJM Group.
If you need to reprint, please leave a message or contact nejmqianyan@nejmqianyan.
cn.
Unauthorized translation is an infringement, and the copyright owner reserves the right to pursue legal liabilities.
