Approach to compressive mononeuropathies Quiz: Ace Your Exams

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A 22-year-old woman presents to the primary care clinic for evaluation of numbness and tingling in the right hand, which has been present for the past three weeks. The patient has difficulty buttoning shirts and experiences increased pain as a receptionist. Past medical history is non-contributory, and the patient takes no medication. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 12/min, and blood pressure is 116/72 mmHg. The patient endorses numbness over the palm, thumb, and first two fingers. There is weakness with thumb abduction. Phalen and Tinel signs are positive. Which of the following historical findings may contribute to this patient’s condition?

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