Book chapter
Patient with brachial plexopathy
Case Studies in Pain Management, pp.30-37
Cambridge Univ Press
01/01/2015
DOI: 10.1017/CBO9781107281950.005
Abstract
A 25-year-old male football player complains of new right upper extremity numbness and weakness. Symptoms are such that he is unable to catch an American football; however he is able to loosely hold a can of soda. He states the symptoms started after a motorcycle accident 1 week ago and have got worse. The pain from the accident has improved, but the numbness and weakness are unchanged and a little worse. The patient rates his pain at a 3/10 with radiation down his arm from his shoulder to his fingers.
Physical exam is remarkable for a well-developed male with prominent upper-body musculature. There is no noted edema, cyanosis, or clubbing of the upper extremity. There are equal strong bilateral radial pulses, 2+ biceps reflexes on the left, 5/5 strength of the left upper extremity, 1+ biceps reflex on the right, 3/5 shoulder abduction, 3/5 biceps flexion, 3/5 wrist extension, and 4/5 strength to the intrinsic muscles of the hand. Tinel's sign is negative, bilaterally.
Details
- Title: Subtitle
- Patient with brachial plexopathy
- Creators
- Jonathan Chang - Washington University in St. LouisRahul Rastogi - Washington University in St. Louis
- Contributors
- A D Kaye (Editor)R V Shah (Editor)
- Resource Type
- Book chapter
- Publication Details
- Case Studies in Pain Management, pp.30-37
- DOI
- 10.1017/CBO9781107281950.005
- Publisher
- Cambridge Univ Press; CAMBRIDGE
- Number of pages
- 8
- Language
- English
- Date published
- 01/01/2015
- Academic Unit
- Anesthesia
- Record Identifier
- 9984295928502771
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