Sam,+Conor+NCS+3

> > **   ||^   ||   ||   ||   ||   ||  **DIAGNOSIS ** ||  || Complete the following for the disease you diagnosed Ulnar nerve neuropathy
 * **PMH **
 * **GERD
 * **ACL Tear ** || **VOCAB/ACRONYMS **
 * **Gerd – Gastro esophageal reflex disease **
 * **ACl – anterior cruciate ligament **
 * **A & O – alert and oriented **
 * **B/L – bilateral ** ||  ||
 * **OBSERVATIONS **
 * **Healthy looking male **
 * **No apparent distress **
 * **Right hand slightly smaller than left **
 * **Slight tenderness in right medial forearm when touched **
 * ^  ||  **<span style="font-family: "Centaur","serif"; font-size: 11pt;">TESTS ORDERED AND RESULTS **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Cervical mri – normal **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">NCV – ulnar nerve dysfunction **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">SYMPTOMS/COMPLAINTS **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Right hand tingling, numbness and weakness for past few months **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Pain, waxes and wanes **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Worst at the end of the day **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Wakes him up at night, feels better if he changes position **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Ulner nerve neuropathy **
 * ^  ||  **<span style="font-family: "Centaur","serif"; font-size: 11pt;">RATIONALE FOR DIAGNOSIS **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Abnormal sensations in little finger (pinky) **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Decreased sensation **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Pain **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Tingling **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Numbness weakness **
 * **<span style="font-family: "Centaur","serif"; font-size: 11pt;">Wakes up from sleep ** ||  ||
 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">NAME OF DISEASE __**


 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">WHAT IS IT __**

<span style="font-family: "Centaur","serif"; font-size: 11pt;">A condition when the ulnar nerve becomes pinched and causes discomfort in the wrist and hand particularly the pinky. The most common site for this pinched nerve is the elbow and the wrist.


 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">SIGNS AND SYMPTOMS OF DISEASE __**


 * <span style="font-family: "Centaur","serif"; font-size: 11pt;">pins and needle and numbness in the pinky
 * <span style="font-family: "Centaur","serif"; font-size: 11pt;">weakness and wasting of the hand muscle
 * <span style="font-family: "Centaur","serif"; font-size: 11pt;">inability to straighten pinky and ring finger affected
 * <span style="font-family: "Centaur","serif"; font-size: 11pt;">decreased sensation
 * <span style="font-family: "Centaur","serif"; font-size: 11pt;">can awaken from sleep
 * <span style="font-family: "Centaur","serif"; font-size: 11pt;">pain

<span style="font-family: "Centaur","serif"; font-size: 11pt;">NCV- measures the electrical energy of a nerve by assessing the nerve’s ability to send signals. This would show if a nerve was damaged or pinched and was the reason for discomfort. <span style="font-family: "Centaur","serif"; font-size: 11pt;">MRI- uses radio waves to produce detailed images of structures within the body. This would be used to look at the neck and see if discomfort was caused by damage to the neck or a disc in the spinal cord.
 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">HOW DISEASE IS DIAGNOSED (WHAT DIAGNOSTIC TESTS AND WHAT THEY WOULD SHOW) __**

<span style="font-family: "Centaur","serif"; font-size: 11pt;">If the cause is identified, sometimes the patient can get better on their own. Medications such as over the counter pain relievers, or corticosteroids that are injected to relieve swelling and pain can be used. A supportive splint worn on a daily bases relieves symptoms. Surgery on the nerve to relieve pressure may be used if there is proof that the nerve is wasting away. Physical therapy exercises and occupational therapy can also be used.
 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">TREATMENT __**

<span style="font-family: "Centaur","serif"; font-size: 11pt;">If the cause of the dysfunction is identified and can be treated, a full recovery can be expected. In some cases, loss of movement or sensation can occur. Nerve pain can be severe and may last a long period of time.
 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">PROGNOSIS AND COURSE OF DISEASE __**


 * __<span style="font-family: "Centaur","serif"; font-size: 11pt;">WHAT IT’S LIKE TO LIVE WITH IT (FIND PICTURES AND VIDEOS FOR YOUR WIKI PAGE) __**

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