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SET T0010 - Emergency Department

CASE 1

HISTORY

Fight in a pub. Lots of punches thrown by this patient. Painful 4th and 5th metacarpals of the right hand.

QUESTION

Normal or abnormal?

ANSWER

CASE 2

HISTORY

Frustrated and angry. Punched a wall with his right hand. Painful 4th and 5th metacarpals.

QUESTION

Normal or abnormal?

ANSWER

CASE 3

HISTORY

Football match. Cup competition. Goalkeeper allowed in a soft goal. Expressed his disappointment by repeatedly punching a rather solid goal post with his right hand. On examination : painful 4th and 5th metacarpals and much bruising around the medial aspect of the wrist.

QUESTION

1). Normal or abnormal bones?

2). Normal or abnormal joints?

ANSWER

CASE 4

HISTORY

Involved in an angry argument with his wife. Punched a wall. Attends the ED with a swollen right hand and wrist. The 4th and 5th metacarpals are very tender.

QUESTION

1). Normal or abnormal - bones?

2). Normal or abnormal - carpo-metacarpal joints?

ANSWER