Looking further when symptoms are disproportionate to physical findings.

08:00 EDT 7th August 2018 | BioPortfolio

Summary of "Looking further when symptoms are disproportionate to physical findings."

A 36 year-old male presents with left ulnar-side wrist pain during an ice hockey game that prevented him from playing hockey or golf. There was no acute mechanism of injury. The usual clinical examination revealed only minimal tenderness and minimal pain with resisted wrist extension. Careful attention to precipitating factors led to testing resisted wrist extension with the forearm fully supinated, which reliably reproduced the intensity of the patient's symptoms, and a diagnosis of extensor carpi ulnaris tendinopathy. A literature review suggested three additional special tests (two were positive) and management. However, a standard of care has yet been established as neither the tests nor the management has been properly validated through research, thus leaving the management of this condition as an art.


Journal Details

This article was published in the following journal.

Name: Medicine and science in sports and exercise
ISSN: 1530-0315


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Disorders having the presence of physical symptoms that suggest a general medical condition but that are not fully explained by a general medical condition, by the direct effects of a substance, or by another mental disorder. The symptoms must cause clinically significant distress or impairment in social, occupational, or other areas of functioning. In contrast to FACTITIOUS DISORDERS and MALINGERING, the physical symptoms are not under voluntary control. (APA, DSM-IV)

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Morphological findings useful in differentiation and classification of results in CYTODIAGNOSIS and related techniques.

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