Triage:
History of Present Illness: A woman in her mid-40’s with no significant PMH is sent to the hospital for left index finger pain for 2 months progressively getting worse and now with swelling for the past 3 weeks. There is also pain and swelling in the right wrist. She denies any injury and has already seen a neurologist who ruled out carpal tunnel syndrome early in the course of her illness. She then saw a rheumatologist who found elevated inflammatory markers but negative tests for gout, RA, SLE and all other known rheumatologic conditions. She was sent to the ER to see a hand specialist. She denies fever or chills
Vital Signs: normal
Physical Exam: The right index finger is swollen and tender and she cannot bend it very well but it is not warm nor pink
What is the most likely diagnosis?
- A) Streptococcus
- B) Gonococcus
- C) Staphylococcus
- D) None of the above
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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ANSWER:
- A) Streptococcus
- B) Gonococcus – CORRECT
- C) Staphylococcus
- D) None of the above
1-Minute Consult on this topic: Click HERE and scroll to page 268.
DGI article 1
DGI article 2
CASE CONCLUSION:
CASE LESSONS: