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Surgery
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
Carpal tunnel syndrome
De Quervain's tenosynovitis
Amyotrophic lateral sclerosis
Rheumatoid ahritis of the wrist joint
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