centered image

centered image

DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 22, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands

    What’s this sign called, and what could be the underlying condition?

    I’ll post the correct answer in a couple of days!

    DDx.jpg
     

    Add Reply
    J.P.C. Peper, Aug 22, 2012
    #1

  2. lakmalDJ

    lakmalDJ Famous Member

    Joined:
    Jun 21, 2012
    Messages:
    223
    Likes Received:
    17
    Trophy Points:
    445
    Gender:
    Male
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    these are carpopedal spasms seen in tetany
     

    lakmalDJ, Aug 22, 2012
    #2
  3. Hasan

    Hasan Bronze Member

    Joined:
    Jun 29, 2011
    Messages:
    372
    Likes Received:
    30
    Trophy Points:
    745
    Occupation:
    Doctor
    Practicing medicine in:
    Bangladesh
    Carpopedal Spasm i.e. Hand of the obstetrician due to Hypocalcemia from latent Tetany
     

    Hasan, Aug 22, 2012
    #3
  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
    Carpopedal spasm in cause of l. tetany.
     

    Emergency medicine Mike, Aug 22, 2012
    #4
  5. sundarto

    sundarto Bronze Member

    Joined:
    Jul 17, 2012
    Messages:
    272
    Likes Received:
    3
    Trophy Points:
    655
    Practicing medicine in:
    Indonesia
    obstetric hand (probable couse is hypocalsemia)
     

    sundarto, Aug 22, 2012
    #5
  6. shobitha

    shobitha Active member

    Joined:
    Aug 20, 2012
    Messages:
    29
    Likes Received:
    1
    Trophy Points:
    40
    Occupation:
    doctor
    Practicing medicine in:
    Sri Lanka
    most probably this is trousseau's sign due to hypocalcaemia. suggestive features are flexed wrist & MPJ, extended DIPJ & PIPJ, adducted fingers & thumb adops a posture of opposition
     

    shobitha, Aug 22, 2012
    #6
  7. Gospodin Seki

    Gospodin Seki Moderator Staff Member

    Joined:
    Jan 3, 2012
    Messages:
    1,042
    Likes Received:
    303
    Trophy Points:
    3,050
    Gender:
    Male
    Occupation:
    Student of Belgrade Medical School
    Practicing medicine in:
    Serbia
    Carpopedal spasm
     

    Gospodin Seki, Aug 22, 2012
    #7
  8. dracomalfoy

    dracomalfoy Famous Member

    Joined:
    Jun 26, 2012
    Messages:
    130
    Likes Received:
    10
    Trophy Points:
    445
    Practicing medicine in:
    England
    Trousseau's Sign ( Carpopedal spasm associated with hypocalcemia )
     

    dracomalfoy, Aug 23, 2012
    #8
  9. J.P.C. Peper

    J.P.C. Peper Bronze Member

    Joined:
    Apr 8, 2012
    Messages:
    875
    Likes Received:
    60
    Trophy Points:
    1,245
    Gender:
    Male
    Occupation:
    Medical student (since 2009)
    Practicing medicine in:
    Netherlands
    Correct answer:

    Trousseau's sign (also known as obstetric hand); it indicates serious hypocalciemia, of which latent tetany is one of the possibles causes.

    It's a carpopedal spasm with flexion of the fingers and wrist. Serious hypocalciemia can also cause seizures and cataract.
     

    J.P.C. Peper, Aug 25, 2012
    #9

Share This Page

<