general-medicine ortho-trauma
Carpal Tunnel Syndrome-6 (CTS-6) Diagnostic Tool
6-item clinical prediction rule for diagnosing carpal tunnel syndrome (CTS) without the need for nerve conduction studies (NCS). Items: nocturnal symptoms, hand diagram, wrist ratio index, Phalen's test, loss of 2-point discrimination, weakness/atrophy. Score ≥12 = high likelihood CTS.
References
- Wainner RS et al. Reliability and diagnostic accuracy of the clinical examination and patient self-report measures for cervical radiculopathy. Spine. 2003;28(1):52–62.
- Mehta A et al. Systematic review and meta-analysis of the CTS-6 for carpal tunnel syndrome diagnosis. J Hand Surg Eur. 2017;42(9):933–941.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Oxycodone with naloxone · Strong opioid + peripheral opioid antagonist
- Tetracosactide · Synthetic ACTH (short Synacthen test)
- Aciclovir 800mg Tablets (Ramsay Hunt Syndrome / Herpes Zoster Oticus) · Antiviral — nucleoside analogue (herpes zoster treatment)
- Loperamide · Opioid Receptor Agonist (Peripheral — Antidiarrhoeal)
- Pramipexole (Restless Legs Syndrome — Elderly) · Dopamine Agonist (D2/D3 Receptor)
- Domperidone · Prokinetic Antiemetic (Peripheral Dopamine Antagonist)
Pathways
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.