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| Has there been a fall onto an outstretched hand or direct trauma? | |
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yes, next |
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| Is there immediate swelling to the injury site? | |
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yes, next |
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| Is there a deformity to the wrist, hands or fingers? | |
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yes |
 Fracture
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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yes, next |
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| Is there immediate swelling to the injury site? | |
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yes, next |
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| Is there a deformity to the wrist, hands or fingers? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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yes |
| Sprain
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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no, next |
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| Is there any pins and needles or numbness in the hand or fingers? | |
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yes, next |
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| Is the pain worsened when the front of the wrist is compressed and/or positive Tinel’s sign? | |
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yes, next |
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| Is there wasting to the thenar eminence in the hand? | |
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yes |
| Carpal tunnel syndrome
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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no, next |
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| Is there any pins and needles or numbness in the hand or fingers? | |
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yes, next |
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| Is the pain worsened when the front of the wrist is compressed and/or positive Tinel’s sign? | |
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no, next |
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| Do the symptoms worsen with Upper Limb Tension Tests (ULTT)? | |
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yes |
| Neck/shoulder neuropathy
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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no, next |
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| Are there any pins and needles or numbness in the hand or fingers? | |
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no, next |
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| Does rest cause stiffness and/ or pain? | |
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yes |
| Osteoarthritis
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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no, next |
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| Are there any pins and needles or numbness in the hand or fingers? | |
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no, next |
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| Does rest cause stiffness and/ or pain? | |
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no, next |
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| Is there swelling to the joints? | |
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yes |
| Inflammatory joint disease
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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no, next |
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| Are there any pins and needles or numbness in the hand or fingers? | |
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no, next |
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| Does rest cause stiffness and/ or pain? | |
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no, next |
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| Is there swelling to the joints? | |
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no, next |
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| Is there pain on resisting thumb movements and positive Finkelsteins test? | |
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yes |
| Tendinopathy
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| Has there been a fall onto an outstretched hand or direct trauma? | |
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no, next |
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| Is there pain and increased movement at the injured joint? | |
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no, next |
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| Are there any pins and needles or numbness in the hand or fingers? | |
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no, next |
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| Does rest cause stiffness and/ or pain? | |
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no, next |
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| Is there swelling to the joints? | |
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no, next |
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| Is there pain on resisting thumb movements and positive Finkelsteins test? | |
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yes, next |
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| Does the thumb or finger lock or catch with or without reduced range of movement? | |
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yes |
| Trigger finger
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