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Musculoskeletal
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Carpal Tunnel Tests
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Phalen + Tinel; diagnosis confirmed with nerve conduction.
Decision
Outcome
Decision
Suspected carpal tunnel syndrome. Provocative tests?
✓
Phalen test (wrist flexion 60 s reproduces symptoms) and Tinel sign (light tap over median n. produces tingling)
✗
Spurling maneuver
Decision
If equivocal, next test?
✓
Nerve conduction studies + EMG
Outcome
EMG/NCS confirms; first-line: wrist splinting at night + activity modification; injections; surgical release if persistent
Pregnancy CTS often resolves postpartum.