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Man Has Pain, Numbness, Trouble Opening His Hand - Let's Diagnose

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A 70-year-old man went on a rare visit to his primary care physician complaining of some numbness and pain in his hand with difficulty fully opening his hand. When he showed the doctor, his palm appeared to have raised scars and the skin looked pulled together. He said he’d noticed some smooth nodules on the hand a couple of years ago, but he didn’t think much of it because he often worked with his hands. His thumb and index finger seemed unaffected. The doctor noted a long-term tobacco habit, and the patient said he had been in recovery from alcoholism for 3 years.

Is it dupuytren contracture, rheumatoid arthritis, carpal tunnel syndrome or trigger finger?

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VisualDx is an award-winning diagnostic clinical decision support system that has become the standard electronic resource at more than half of U.S. medical schools and more than 1,500 hospitals and institutions nationwide.  VisualDx combines clinical search with the world's best medical image library, plus medical knowledge from experts to help with diagnosis, treatment, self-education, and patient communication. Expanding to provide diagnostic decision support across General Medicine, the new VisualDx brings increased speed and accuracy to the art of diagnosis. Learn more at www.visualdx.com.

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