Pediatrics in Review Note to Institutions for Site Subscriptions
HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Rapid Responses: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Rapid Responses are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Conners, G. P
Right arrow Articles by Miller, H. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Conners, G. P
Right arrow Articles by Miller, H. S.

INDEX OF SUSPICION

Gregory P Conners MD1
Paul W. Sheeran MD2
Harry S. Miller MD3
 1 University of Rochester School of Medicine and Dentistry, Rochester, NY
2 Harbor-UCLA Medical Center, Torrance, CA
3 The Children's Hospital at Albany Medical Center, Albany, NY

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page.

We invite readers to contribute case presentations and discussions.

Case 1 Presentation

A 16-year-old right-handed girl comes to you complaining of a "funny bend" in her left ring finger. She first noticed it 2 days ago, after a martial arts practice session during which she was blocking kicks with her bare hands. After practice, she had pain and considerable ecchymosis in the distal portion of her finger and was unable to extend her distal interphalangeal joint (DIP) fully. The finger has not improved after 2 days of rest, ice, and ibuprofen. She denies other medical or orthopedic problems and has been taking no other medications.

On physical examination, the DIP joint of her left ring finger assumes a position of 30 degrees of flexion at rest; she can flex the joint fully but is unable to extend it beyond the resting position.






HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
Pediatrics Pediatrics in Review
Copyright © 1995 by the American Academy of Pediatrics.