A 48-year-old operating room (OR) nurse comes complaining of hand - TopicsExpress

A 48-year-old operating room (OR) nurse comes complaining of hand weakness. She has to tightly hold things in the OR for a long period of time, and at least 3 to 4 times in the last couple of months, she has dropped different things on the floor. In the morning, she noticed tingling in the first 3 fingers of both her hands, which sometimes goes away after shaking them. This tingling comes on also when she drives. She has full strength in all her muscle groups, except mild weakness extending her thumb bilaterally. There is no thenar eminence atrophy. Tinel sign and Phalen are positive at the wrist bilaterally. Her thyroid stimulating hormone TSH is 1.2. What is the next step in management? A. Electromyography B. Magnetic resonance imaging (MRI) of the cervical spine C. MRI of the brachial plexus D. Physical therapy E. Surgical decompression

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