This is an interesting case of a 64 yr old male who presented with a Four year history of swelling at his wrist. Apparently in some parts of the world this is quite a common and significant sign of a serious illness, which has gradually reduced over the years. Nevertheless if you see this in your clinic there should be 2 important diagnoses that comes to mind.. What are they? What is the name given to this particular swelling?
The above is a radiograph of the affected wrist. If you were thinking along the correct path, you probably would have asked for a chest x-ray. What do you think?
Answers will be posted next week.ANSWERS:
1. The two commonest differential diagnosis are Tuberculosis & Rheumatoid Arthritis
2. The name given to this swelling is Compound Palmar Ganglion
'The Culprit'
Immediately post-opSurgeon: Dr Phillip, Assisstant: Dr Herry Zul
The histopathology came back as Tuberculosis and it turns out that he actually had this swelling and cough for more than 4 years already.... suffice to say that he is currently on anti-TB medication.
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