Published: 29 July 2015
Author(s): Or Kalchiem-Dekel, Sharon Davidesko, Nimrod Maimon
Section: Internal Medicine Flashcard

A 64-year old woman presented to the emergency department with a 6-month history of right lateral cervical pain and a 2-week history of erythema and swelling of her right hand and wrist, accompanied by a tingling sensation along her right forearm. The patient denied recent occurrence of fever, recent trauma, or strenuous exercise. She appeared comfortable. Her temperature was 36.2°C, blood pressure was 132/70mm Hg, pulse was 89beats/minute and O2 saturation was 98% in ambient room air. Physical examination of the right upper limb revealed mild erythema and non-pitting edema of the hand and wrist as well as decreased sensation to light touch and pain along the C8–T1 dermatomes.


Stay informed on our latest news!


This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.