2.15 Dorothy Miller – wrist and hand exam

You spoke to Dorothy this morning. She has come for a wrist and hand exam.

Just a little reminder of her history.

Dorothy is a 55-year-old hairdresser who is right-hand dominant with tingling and burning pain over the palmar aspect of her thumb, index and middle fingers and the lateral side of the ring finger of her right hand. The symptoms began gradually over the last 12 months and lately have become more intense. It often causes poor sleep and the pins and needles and pain are worse when she wakes up. She has now started to drop things and is concerned.

Past medical History – Diabetes type 2

Gastro-oesophageal Relux Disease and takes lansosprazole 40mg for 6 years.