Hand And Upper Extremity
2
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15 Questions
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added 35 months ago.
created by Brandon Ball.
A young man presents to the ED after a fight with a friend left him unable to extend the DIP joint of his left fourth digit. The finger is very tender over the dorsum of the DIP joint. He is unable to actively extend the DIP. Which part of the extensor mechanism has he likely damage?
A young man presents to the ED after a fight with a friend left him unable to extend the DIP joint of his left fourth digit. The finger is very tender over the dorsum of the DIP joint. He is unable to actively extend the DIP. Which part of the extensor mechanism has he likely damage?
added 35 months ago.
created by Brandon Ball.
A woman sees you after sustaining a dorsal oblique amputation of her left third digit. She is still able to actively flex and extend her DIP, and the size of the wound is less than 1cm squared. On inspection, the wound is relatively clean, however there is some exposed bone. After you decide ...
A woman sees you after sustaining a dorsal oblique amputation of her left third digit. She is still able to actively flex and extend her DIP, and the size of the wound is less than 1cm squared. On inspection, the wound is relatively clean, however there is some exposed bone. After you decide ...
added 35 months ago.
created by Brandon Ball.
A 63 year old male presents to you a few days after he removed a large "sliver" from his right ring finger. He is complaining about persistent pain and swelling. When you examine the finger, the entire finger is diffusely swollen, warm to touch, and erythematous. When you palpate the finger, i...
A 63 year old male presents to you a few days after he removed a large "sliver" from his right ring finger. He is complaining about persistent pain and swelling. When you examine the finger, the entire finger is diffusely swollen, warm to touch, and erythematous. When you palpate the finger, i...
added 35 months ago.
created by Brandon Ball.
2
acclamations.
A young man comes to you with a hand abscess that developed after a cut to his hand while cleaning a fish tank. Despite having the abscess drained, and taking empiric antiobiotics for a skin infection, the infection has persisted for several months. What pathogen do you suspect to be responsible?
A young man comes to you with a hand abscess that developed after a cut to his hand while cleaning a fish tank. Despite having the abscess drained, and taking empiric antiobiotics for a skin infection, the infection has persisted for several months. What pathogen do you suspect to be responsible?
added 35 months ago.
created by Daniel Kozan.
A 35 year old woman presents with a 1 year history of a nodule on the radial dorsal aspect of her left wrist. It causes her no discomfort and she thinks it fluctuates in size. On exam it's about 3 mm wide, firm and mobile. What is the most likely diagnosis?
A 35 year old woman presents with a 1 year history of a nodule on the radial dorsal aspect of her left wrist. It causes her no discomfort and she thinks it fluctuates in size. On exam it's about 3 mm wide, firm and mobile. What is the most likely diagnosis?
added 35 months ago.
created by Daniel Kozan.
3
acclamations.
A 40 year old man is referred to you for weakness of his right hand. He complains of difficulty writing over the last few months. On exam you find he has weakness of the index and long finger FDP and flexor pollicis longus. He has no sensory deficits. Froment's sign is negative. What is the cause...
A 40 year old man is referred to you for weakness of his right hand. He complains of difficulty writing over the last few months. On exam you find he has weakness of the index and long finger FDP and flexor pollicis longus. He has no sensory deficits. Froment's sign is negative. What is the cause...