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Dreamz Learning Innovations_____________________________________________ Page 1
• Carpal Tunnel Syndrome
o This is a syndrome
characterised by the
compression of the median
nerve as it passes beneath the
flexor retinaculum (MCQ)
• Causes of carpal tunnel
syndrome
o Idiopathic (Most common)
(MCQ)
o Obesity
o oral contraceptives (MCQ)
o hypothyroidism (MCQ)
Dreamz Learning Innovations_____________________________________________ Page 2
o arthritis
o diabetes, prediabetes (impaired
glucose tolerance) (MCQ)
o trauma.
o Charcot-Marie-Tooth syndrome
type 1 called hereditary
neuropathy with liability to
pressure palsies.
o extrinsic factors where pressure
is exerted from outside the tunnel
as lipomas, ganglion, and
vascular malformation.
o transthyretin amyloidosis-
associated polyneuropathy
Dreamz Learning Innovations_____________________________________________ Page 3
• Clinical features
o Classical Clinical Vignette in PG Medical
Entrance (MCQ)
n The patient is generally a middle aged
woman complaining of tingling, numbness or
discomfort in the thumb and radial one and a
half fingers i.e., in the median nerve
distribution.
Dreamz Learning Innovations_____________________________________________ Page 4
o Tingling is more prominent during sleep.
(MCQ)
o There is a feeling of clumsiness in carrying
out fine movements.
•
Nerve conduction studies show delayed or
absent conduction of impulses in the
median nerve across the wrist.
• Treatment is by dividing the flexor
retinaculum, and thus decompressing
the nerve. (MCQ)
Dreamz Learning Innovations_____________________________________________ Page 5

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Topic 28 carpal tunnel syndrome.ppt

  • 1. Dreamz Learning Innovations_____________________________________________ Page 1 • Carpal Tunnel Syndrome o This is a syndrome characterised by the compression of the median nerve as it passes beneath the flexor retinaculum (MCQ) • Causes of carpal tunnel syndrome o Idiopathic (Most common) (MCQ) o Obesity o oral contraceptives (MCQ) o hypothyroidism (MCQ)
  • 2. Dreamz Learning Innovations_____________________________________________ Page 2 o arthritis o diabetes, prediabetes (impaired glucose tolerance) (MCQ) o trauma. o Charcot-Marie-Tooth syndrome type 1 called hereditary neuropathy with liability to pressure palsies. o extrinsic factors where pressure is exerted from outside the tunnel as lipomas, ganglion, and vascular malformation. o transthyretin amyloidosis- associated polyneuropathy
  • 3. Dreamz Learning Innovations_____________________________________________ Page 3 • Clinical features o Classical Clinical Vignette in PG Medical Entrance (MCQ) n The patient is generally a middle aged woman complaining of tingling, numbness or discomfort in the thumb and radial one and a half fingers i.e., in the median nerve distribution.
  • 4. Dreamz Learning Innovations_____________________________________________ Page 4 o Tingling is more prominent during sleep. (MCQ) o There is a feeling of clumsiness in carrying out fine movements. •
  • 5. Nerve conduction studies show delayed or absent conduction of impulses in the median nerve across the wrist. • Treatment is by dividing the flexor retinaculum, and thus decompressing the nerve. (MCQ) Dreamz Learning Innovations_____________________________________________ Page 5

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