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A 35-year-old female office worker reports 6 months of deep aching pain that is worse at night on her lateral dominant elbow. The pain also worsens with repetitive movements. On physical exam, the patient has tenderness located 4cm distal to the lateral epicondyle over the mobile wad, and she has subtle weakness of the wrist extensors. Extending her long finger against resistance with a flexed wrist is very painful for her. She also complains of her pain worsening at night. What is the most likely diagnosis?
Radial tunnel syndrome
Carpal tunnel syndrome
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HPI - A 50 year old female patient presents with insidious onset of pain over the lateral aspect of her left elbow and forearm, which has started radiating down to the left hand.
Her symptoms started 10 days ago. The pain was initially aggravated with activity and relieved with rest. More recently, the pain has persisted even at rest and is increased with activity involving extension of the wrist and elbow as well as shoulder abduction.
She is currently unable to lift a small amount of weight secondary to pain. There was no gross weakness of wrist or finger extension.
What is the likely diagnosis?