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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.

Comments

Anonymous said…
Since it is painless, it can't be rheumatoid arthritis. I vote for diabetic neuropathy.
Anonymous said…
carpal tunnel syndrome, right?
K said…
It looks like his hands are cramped, but if he's not feeling pain... #5?
Anonymous said…
I think it is #4 because it is painless
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.
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 !

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