Saturday, 19 March 2016

Spot the diagnosis 129-130


(129) An adult male of fifty from a well- to -do family has come  . He complains of pain in the front of medial epicondyle . Nothing abnormal was detected  . Spot the diagnosis ?
(130) A lady of forty has come . She feels pain near the tip of radial styloid process near the  anatomical snuff box. On examination there is tenderness and a firm nodule in the size of a orange pip is palpably enlarged . The Finkelstein 's test is positive.
(a) Spot the diagnosis ?
(b)  What is Finkelstein 's test?
(c) What are the tendons involve in it .
(d) What is the nature of the disease ?

Answers
(129) Golfer's elbow
(130)
(a) De Quervain's tenovaginitis .
(b) Passive adduction or ulnar deviation of the wrist and thumb causes the patient to wince with pain .
(c) Abductor pollicis longus and extensor pollics brevis .
(d) Chronic stenosing tenovagitis.

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