What'd Be Your Unifying Diagnosis?
It's been a while since our last 'casual' life blogs.
I saw this lady during my combined antenatal and medical follow-up.
She had a congenital cardiac lesion which is corrected. Clinically she is pink on air and there is no finger clubbing.
What would you expect the lesion to be and what would be your diagnosis?
Labels: Station 5
posted by Axonopathic @ 9/24/2007 11:02:00 AM
10 Comments:
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Subtle...subtle..
Looking at the curved little finger, I wonder if this is clinodactyly secondary to Trisomy 21. The hand is also smaller than the doctor's hand (I presume the top one belongs to the patient, the bottom the doc).
Hosp slave,
Thanks for the comment. Yep it's quite a difficult one.
What if i tell u that both hands belong to the same patient? :)
dr.salem,wasting of the 1st dor.inteross.hyperextension of 4th,5th p.i.p.joints and flexion of 5th t.i.p.joint.?lt.claw hand [partial].
Partial claw hand is not the answer.
Try correlate with the cardiac lesion.
Any takers?
Shorten 5th digit of left hand. This patient had a Blalock Taussig shunt for congential heart disease, most commonly Tetralogy of Fallots.
Endocardial cushion defects (muscular part of the septum)leading to VSD and short and curved little finger with a simian crease, probably down's. However the possibility of Pseudopseudo hypoparathyroidism is there but cardiac lesion unlikely.
holt oram syndrome
probably asd
holt oram syndrome
corrected atrial septal defect
Yep. It's Holt-Oram syndrome.
She doesn't have a murmur as her ASD was closed.
Well done bloggers :)
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