VizD Challenge Week of 2/18/08
A 24-year-old man presents to your ED with a painful finger. He states a thumb tack pierced the volar surface of his finger 3 days ago.
(click on image to enlarge)
Questions:
1. What is the diagnosis?
2. What are Kanavel's 4 cardinal signs?
Winner receives $5!
To submit your answer, please click on "comments" below.
Though your answer won't post, I will have a record of it.
For more information about the VizD contest, please click here.
VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.
3 comments:
cellulitis?
pain, erythema, swelling, warmth
The picture isn't ideal, but I suspect this guy has a flexor tenosynovitis. Asking for the cardinal signs kind of gives it away!
Uniform fusiform swelling, holding the finger in slight flexion, intense pain with passive extension of the digit, and pain with percussion along the tendon sheath are the hallmarks of this condition.
flexor teosynovitis
kanavels signs
pain in passive extnsion
flexed position of finger
tenderness and pain over flexor sheath
swelling of the finger
Post a Comment