Wrist pain is a SUPER common chief complaint in primary care. Most of the time, luckily, it’s chronic wrist pain that’s from overuse (versus the more acute, dangerous differential diagnoses with injuries), but it’s still a lot to work through as a new nurse practitioner.
In this week’s video, I’m covering the overview approach to diagnosing wrist pain in primary care for new nurse practitioners:
✅ What first triage questions to ask
✅ Red flags to watch out for
✅ History questions, physical exam and special tests to perform
✅ When to refer and when to consider getting imaging
Check it out here:
(FYI: to slow down the audio speed, hit the gear symbol in the bottom right corner and change it to .75x or .5x. Closed captions are also located at the bottom R hand corner of the video.)
NOTE ABOUT IMAGING - there's no specific link, I didn't have my notes in front of me so I didn't want to misspeak-- but what I said was correct in the video-- initial imaging for wrist pain includes posteroanterior (PA), lateral, and oblique views of the wrist!
For further imaging guidance, this is a popular resource, but please note it's from a private company. You can verify further imaging on the American College of Radiology (ACR) website as well. https://radiax.com/Portals/1/Documents/Downloadable%20Materials/General%20Radia/RadiaImCtrs_OrderingGuide1_Nov15.pdf?ver=2015-12-10-211939-943
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