Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have a lump on the back of my hand, located in my wrist that seems to fluctuate according to weather conditions.  It is very painful when it appears and affects the movement in my hand.  It tends to appear for several days at a time.  I have experienced the same in the other wrist too but not always at the same time.  I also experience pain and swelling in some of my fingers from time to time.   Do you have any idea what this may be please.
[|AI|]  Welcome to Chat Doctor. 1. The history and symptoms suggest the possible cause will be ganglion at first place followed by hair follicle infection, lipoma.2. Ganglions arise from the joint space, tendon, ligament, bursar, nerve sheet - which when complicated cause the symptoms.3. In this case an ultrasound lump to evaluate the nature of the lump its source and extensions.4. Depending on the findings the treatment will be small incision and Chat Doctor.