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A 35-year-old construction worker presents with complaints of nocturnal parasthesias of the thumb and the index and middle fingers. There is some atrophy of the thenar eminence. Tinel sign is positive. The most likely diagnosis is

  1. Carpal tunnel syndrome

  2. De Quervain’s tenosynovitis

  3. Amyotrophic lateral sclerosis

  4. Rheumatoid arthritis of the wrist joint 


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1 Answer

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a. Carpal tunnel syndrome