free-downloads CSEVideos


Faculty Of Medicine

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 2, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,668
    Likes Received:
    3,298
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt

    What is your medical diagnosis for this case ?

    Faculty Of Medicine.jpg
     

    Add Reply

  2. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    images A and B demonstrate a pair of hands that are - narrow, long and thin skinned, with delicate tapering fingers. These features are called Eunuchoidal hand / Arachnodactyly and is seen in Marfan's syndrome, homocystinuria, hypogonadism, hyperthyroidism.

    Please note - it is also seen in normal individuals.

    The sign demonstrated in Image A is - Thumb sign
    Normally when a fist is made over a clenched thumb, the thumb should not extend beyond the ulnar side of the hand.
    Although in this case the hand is open and still the thumb easily crosses over to the ulnar side.


    The sign demonstrated in Image B is - Wrist sign
    In this sign, when the wrist is encircled by the thumb and little finger ( with light pressure / very little effort ), the little finger will overlap at least 1 cm.

    Differentials
    - Marfan's syndrome
    - Hypogonadism
    - Homocystinuria
    - Hyperthyroidism
     

    Last edited: Jan 2, 2013
  3. dilsh123

    dilsh123 Young Member

    Joined:
    Dec 19, 2012
    Messages:
    19
    Likes Received:
    0
    Trophy Points:
    20
    Occupation:
    registrar in medicine
    Practicing medicine in:
    Sri Lanka
    Marfans with arachnodactily
     

  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
    Marfans syndrome.
     

  5. dr.angela

    dr.angela Bronze Member

    Joined:
    Jan 13, 2012
    Messages:
    361
    Likes Received:
    24
    Trophy Points:
    695
    Occupation:
    Doctor
    Practicing medicine in:
    Macedonia
    Marfans syndrome
     

  6. dupuytren

    dupuytren Bronze Member

    Joined:
    Jan 21, 2012
    Messages:
    650
    Likes Received:
    50
    Trophy Points:
    1,345
    Occupation:
    Medical student at Vita-Salute San Raffaele Univer
    Practicing medicine in:
    Italy

  7. u4534590

    u4534590 Active member

    Joined:
    Oct 5, 2012
    Messages:
    26
    Likes Received:
    3
    Trophy Points:
    55
    Practicing medicine in:
    Australia
    Pos. Martian's :)
     

  8. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Joined:
    Mar 21, 2011
    Messages:
    9,668
    Likes Received:
    3,298
    Trophy Points:
    16,075
    Gender:
    Male
    Practicing medicine in:
    Egypt

Share This Page

<