Station 5
What is the diagnosis ?
Any comments on this case ?
Labels: Station 5
posted by Wuchereria @ 9/25/2007 08:37:00 PM
Tuesday, September 25, 2007
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9 Comments:
cute doctor: trigger finger
scleroderma
scleroderma
Raynaud's Phenomenon
Cyanosis at distal part of finger
Nail pulp atrophy
Vasculitic lesion
Areas of small focal necrosis and ulceration
Proceed
Hands - for arthropathy, function, CREST
Upper limbs - extend of skin involvement in Scleroderma, Proximal Myopathy.
Face - feature of scleroderma, SLE, Sjogren syndrome
Chest - Pulm Fibrosis
Heart - Loud P2, cardiomyopathy in scleroderma.
Abdomen - Hepatomegaly, suggestive of Hyperviscosity ?myeloproliferative, PRV etc
End - Drug Hx, Occupation Hx, Joint Pain, Dry eyes, Dry mouth
-look for features of collagen vasc disease
Secondary Raynauds -
Arterial Disease, Thoracic Oulet
Blood Disorder, Connective Tissue Disease, Drugs, Cold Exposure
MSC
Nope.
picture a bit blurred
Janeway lesion
infective endocarditis
Telangictasia rash,subcutaneous calcinosis,flexure contracture of fingers.If the scleroderma is limited to distal to elbow & the face then it is Limited systemic sclerosis
dupuytren's contracture in patient with liver disease
Yes the answer is scleroderma - systemic sclerosis.
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