Station 5
What is the diagnosis ?
Labels: Station 5
posted by Wuchereria @ 9/26/2007 08:30:00 PM
Wednesday, September 26, 2007
Founder
Chief Author
Associate Authors
Recent Posts
- A Tale of Scar. Again?!
- Station 3 Cardio
- Station 5
- What'd Be Your Unifying Diagnosis?
- Quiz Station 5 Locomotor
- Quiz Fundus
- Station 5 Quiz
- Some Drills On Station 5 (Part 5)
- How Would You Proceed?
- 1st MRCP PACES Course And Mock Exam
Member
9 Comments:
This patient has tough skin with pallor of the left index and finger tip infarct.I think he has scleroderma
this patient has scleroderma as there is toough skin and finger tip infarct
palmar erythema,dupytrun contracture associated with alcoholic liver cirrhosis.The scar may signify portocaval shunt operation
Hmm.... don't jump to conclusion so fast.
Nope, that's not the answer.
Let me give it a try.
"This patient has cyanosed fingers with also evidence of ischemia (patches of white). There is also atrophy finger pulps.
This could be Raynaud's Phenomenom or Raynaud's Disease.
Raynaund's Phenomenom has varioud causes
(1) Autoimmune disease such as scleroderma, RA,
(2) Occupational-vibrating tools or exposure to cold
(3) Arterial disease such as thoraci outlet syndrome
(4) Drugs beta-blockers, ergot alaloid, vincristine
(5) others-cyroglobulins"
i agree with giant eagle.
Yes, it is Raynaud's phenomenom.
Primary cause.
In view of wasting of small muscles of the hand, I would suspect thoracic outlet syndrome / cervical rib as the probable cause.
Typical ischeamic finger tips of a Raynaud syndrome.She also with palmer erythema in a lady arround 50 I guess. CREST syndrome associated with primar biliary cirrhosis?
C-Calcinosis Cutis
R-Raynaud Phenomenan
E-Oesophagal dysmotility
S-Sclerodactyle
T-Telengectasia
Post a Comment
<< Home