A young adult is seen in the clinic complaining of a lump the left wrist, but states it is not painful. The nurse notes a round mass on the back of the wrist. The nurse would suspect which of the following?

Question

1. Rheumatoid arthritis
2. Osteoarthritis
3. Ganglion
4. Carpal tunnel syndrome

Answer 1

3
Rationale 1: Rheumatoid arthritis is an autoimmune disorder that presents with pain and tenderness in the joints. The condition may affect numerous joints. It is a systematic condition in which other body parts may be impacted in varying degrees.
Rationale 2: Osteoarthritis is a condition in which the joints degenerate. The potential causes may include obesity, trauma, and occupational stressors. Joint pain with use/exercise is the chief symptom of osteoarthritis. It is commonly seen in the hips, knees, and hands.
Rationale 3: A ganglion is a painless, round, fluid-filled mass. It arises from the tendon sheaths on the dorsum of the wrist and hand. It may be painful.
Rationale 4: Carpal tunnel syndrome results from compression of the median nerve. It may be associated with occupations requiring repetitive tasks and pregnancy. It may begin with numbness and tingling in the hands and fingers. Over time the condition may advance toward an inability to grasp objects.