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Posted:
Feb 21, 2008 - 10:17 AM |
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Rank:
Freshman Chatter
Joined: Feb 11, 2008
Posts: 7 |
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School: shandong medical university
Major: Bachelor of Medicine & Bachelor of Surgery(MBBS) final year student
Gender: 
Age: 25
Med Student  :Yes
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A 54-year-old man presents for evaluation of a painful hand of several weeks' duration. He has been employed as a painter for years. The hand has never been injured, according to the patient's account, and he states that he has no surgical history. In addition to pain, he is having difficulty extending his fourth and fifth fingers. He denies any paresthesias. Past medical history is significant for hyperlipidemia, for which he takes atorvastatin. He also reports a 29 pack-year history of cigarette smoking and an occasional drink after work, but denies any use of illicit drugs. On physical examination, you note a nodular lesion on the volar surface of the hand at the metacarpophalangeal joints of the fourth and fifth fingers.
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Posted:
Jul 18, 2008 - 04:31 PM |
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Rank:
Freshman Chatter
Joined: Jul 18, 2008
Posts: 2 |
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School: college
Gender: 
Age: 18
Med Student :No
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can you help me please
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Posted:
Jul 18, 2008 - 04:31 PM |
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Rank:
Freshman Chatter
Joined: Jul 18, 2008
Posts: 2 |
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School: college
Gender:
Age: 18
Med Student :No
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can you help me please
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