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Bike Repair Guy

UnFiNiShEd CaSe CoMe BaCk LaTeR

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History of Present Illness:

A man in his 30s presents to the ED for left index finger pain and swelling.  He states about a week ago he had a puncture wound to the tip of that finger from a frayed bike cable.  He removed a foreign body but the pain never went away.  In the past 24-36 hours it has become rapidly more painful and swollen.  No fever or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal.  Physical exam is normal except for the images below

 

 

Initial Differential Diagnosis:

  • Foreign body
  • Cellulitis
  • FTS

Initial Diagnostic Testing:

  • Labs: WBC 14.  Other labs normal
  • Imaging: none

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

 

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ANSWERS:

  1. What does the case image show?  The image shows FTS.
  2. What should you do next?  Treat with.  Consult.
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION: We’ll just have to see

CASE LESSONS:

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