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Old 09-18-2011
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Question Right hand pain

A 66-year-old Jewish male presents with progressively worsening pain in his right hand. His symptoms are unrelated to ambient temperature or the time of day. His past medical history is significant for hypertension, diabetes type II, and chronic obstructive pulmonary disease. He has been a one-pack-a-day smoker for over 30 years. On exam, he has intact light touch and proprioception over the majority of both the upper and lower extremities, but the fingertips of his right hand are cyanotic. The tip of his right fifth digit is black and insensate. What is the diagnosis?

A. Peripheral vascular disease
B. Thromboangitis obliterans
C. Raynaud’s disease
D. Electrolyte disturbance
E. Diabetic neuropathy

Source: Lange Qbank
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Old 09-18-2011
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Default B

B thromboangiitis obliterans
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Old 09-18-2011
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B-thromboangiitis obliterans.
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Old 09-18-2011
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B. Thromboangitis obliterans
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Old 09-19-2011
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Correct Answer

it is buerger's disease!
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Old 09-19-2011
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B. Thromboangitis obliterans
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Old 09-19-2011
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Default

the correct answer is b buergers disease aka thromboangitis obilterans
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