Background: Dentists are at an increased risk of developing musculoskeletal disorders, particularly carpal tunnel syndrome (CTS), due to repetitive hand movements, awkward postures, and sustained grip forces. This study aimed to investigate the prevalence and risk factors of self-reported wrist and hand symptoms and clinically relevant CTS indicators among dentists in Jordan. Methods: A cross-sectional study was conducted among 201 licensed dentists in Jordan. Participants completed demographic questionnaires and the Valid Arabic version Boston Carpal Tunnel Questionnaire (BCTQ) to assess their symptom severity and hand function. Data was analyzed using STATA version 17, applying descriptive statistics, chi-squared tests, t-tests, ANOVA, and multivariable linear regression to evaluate association between sociodemographic factors and BCTQ scores. Results: Of the 201 participants, 64.2% were female and 35.8% were male. Female dentists were significantly younger (median age 31 vs. 39 years, p < 0.001), reported higher symptom severity (median score 18.0 vs. 16.0, p = 0.019), and experienced greater functional limitations (median score 15 vs. 9, p < 0.001) than male dentists. The overall mean symptom severity score was 19.12 (SD = 7.82), and the functional impairment score was 14.20 (SD = 6.37), indicating mild pain and functional limitation. Multivariable regression revealed that male sex was associated with significantly lower symptom scores (β = 0.7, p = 0.001) and better function (β = 0.722, p = 0.002). Geographic location, higher education level (PhD), and full-time employment were associated with higher symptom scores in the study. Conclusions: Wrist and hand symptoms are prevalent among dentists in Jordan, with significant sex differences in symptom severity and functional impairment. Geographic location, academic degree, and working hours were significant predictors of CTS-related symptoms. These findings underscore the need for ergonomic interventions and targeted preventive strategies, especially for high-risk groups, such as female and full-time practitioners.

Background: Cardiovascular manifestations, such as pericarditis, myocarditis, and thromboembolic events, are well-documented complications in patients with systemic autoimmune diseases that significantly contribute to morbidity and mortality. Nonetheless, early or atypical presentations of cardiac tamponade in patients with overlapping autoimmune conditions remain diagnostically challenging and underreported. Case Presentation: We present the case of a 47-year-old woman diagnosed with rheumatoid arthritis (RA), Sjögren’s syndrome (SS), and antiphospholipid syndrome (APS), who was admitted to the emergency department with acute-onset pleuritic chest pain, tachypnea, and hypoxemia. Initial clinical evaluation raised suspicion of pulmonary embolism (PE) due to her prothrombotic risk factors and an elevated D-dimer level of 5 µg/ ml. However, bedside echocardiography identified a moderate-to-large circumferential pericardial effusion with early tamponade physiology, evidenced by respiratory inflow variation and right atrial collapse, despite maintained blood pressure and the absence of classical hemodynamic collapse. Electrocardiography (ECG) revealed sinus tachycardia with electrical alternans. The patient received medical management with high-dose corticosteroids, hydroxychloroquine, and colchicine, along with close hemodynamic monitoring. The patient demonstrated clinical improvement without the need for pericardiocentesis. This case underscores the diagnostic complexities in patients with autoimmune diseases presenting with atypical cardiopulmonary symptoms and highlights the essential role of rapid bedside imaging in detecting occult yet potentially life-threatening complications. Conclusion: Early identification of tamponade physiology, even at low pressure, through point-of-care echocardiography, coupled with targeted anti-inflammatory treatment, is crucial for improving clinical outcomes in patients with systemic autoimmune diseases. Clinicians should maintain a high level of vigilance for cardiac involvement, even in the absence of classical tamponade signs, particularly in patients with multiple, overlapping autoimmune conditions.