domingo, 31 de octubre de 2010

Fever and Joint Pain in a 48-Year-Old Man


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Fever and Joint Pain in a 48-Year-Old Man

BACKGROUND
A 48-year-old man presents with a 10-day history of fever, hand pain, watery diarrhea, weight loss, anorexia, and intermittent vomiting. Two nodules are noted on his hands.

What's the diagnosis?

HINT: Consider the history of fever, weakness, and tender, painful nodules on each thumb.

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What is the diagnosis?


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Juan Manuel García Torrecillas
Médico de Familia
Tutor Hospitalario de MFyC
Complejo Hospitalario Torrecárdenas
Almería