An interesting case of fingernail clubbing
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Question 1 of 3
1. Question
What rheumatological syndrome is this patient likely to having (clubbing associated with joint pain and swelling)?
Give 5 possible causes of the syndrome in this patient.
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Question 2 of 3
2. Question
What investigations should you perform now in the ED?
List 6, together with the rationale for performing them.
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Question 3 of 3
3. Question
The patient’s chest x-ray is shown.
You are concerned about the mass at the right hilum and want to arrange follow up for him. He is from Birmingham and thinks his GP is called Dr Singh, at “The Surgery”. He will be travelling home tomorrow so cannot attend any outpatient follow up at your hospital. You do not want to frighten him by mentioning “cancer”.
How will you ensure that he gets followed up appropriately?
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