Wednesday, December 5, 2007

Medical Quiz - How Smart Are you #3?


This middle aged man comes to the office wondering what is wrong with his hands. He has no pain. What is the diagnosis? (Click on image for a close up view)
Answer will be give tomorrow.

11 comments:

Anonymous said...

Since it is painless, it can't be rheumatoid arthritis. I vote for diabetic neuropathy.

ML said...

carpal tunnel syndrome, right?

K said...

It looks like his hands are cramped, but if he's not feeling pain... #5?

AbbyP said...

I think it is #4 because it is painless

Raymond Bouchayer said...

Number 4 diabetes can lead to imputation

Toni Brayer MD said...
This comment has been removed by the author.
Toni Brayer MD said...

K, you got it right. It is not a cramp but is a permanent thickening of the tendon that pulls the digits into a contraction called dupuytens contracture.

Rich said...

ALSO - the left hand looks like he had some surgery to the median nerve - CTS release maybe. it looks like a scar

Thaddeus said...

Quite helpful piece of writing, thank you for this article.
link

ron crane said...

This one is easy a 1st year med student should get this off the bat, the patient being in no pain is the hint at proper diagnoses, it's dupuytren's contracture !

Anonymous said...

This one is easy a 1st year med student should get this off the bat, the patient being in no pain is the hint at proper diagnoses, it's dupuytren's contracture !