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Postgraduate Medical Journal 2004;80:118
© 2004 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

Gangrene

Digital gangrene: an unusual cause

A Sharma , M E Yeolekar , N K Hase , N Ashwini

Department of Internal Medicine, LTMG Hospital, Sion, Mumbai, India

Correspondence to:
Correspondence to:
Dr Anand Sharma
15/2 Shivpuri, Chembur Naka, Mumbai 400 071, India; drandy2003@yahoo.co.in

Submitted 28 January 2003
Accepted 22 March 2003


Answers on p121.

The first 150 words of the full text of this article appear below.

A 27 year old man, with no addictions, was admitted with a history of fever and blackening of his right little finger of one day’s duration. There was no history of trauma or joint pains, and no previous symptoms of any other cardiac illness in the past. The fever was high grade associated with chills; there were no episodes of chest pain, dyspnoea, loose motions, or pain in the abdomen.

Physical examination revealed an acutely ill young man who was conscious oriented and alert. On examination his pulse was 110 beats/min, regular in volume with no apex pulse deficit, and blood pressure was 90/60 mm Hg. On examination of his extremities we found that there was an erythematous macular rash on the ulnar aspect of his right hand; a similar rash was also found on his right foot at the big toe. His right little finger showed evidence of . . . [Full text of this article]


Relevant Article

Digital gangrene: an unusual cause
Postgrad. Med. J. 2004 80: 121-122. [Extract] [Full Text] [PDF]






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