A 40 y/o woman with no sig PMH presents to her PC Doc with Left hand swelling which is associated with some mild discomfort off and on for the last couple months. Recently the swelling became much worse. She denies any parasthesias, muscle weakness, or joint pains.

No sig PSH, FH, ALL
Meds- none

can't give labs because this is a patient my buddy briefly presented to me. What is in your diff for unilateral hand swelling without severe pain or neurological deficit. Thanks

I'm an EM intern, not an FP, so my DDx may be different than most...

UE DVT, dermatomyositis, RSD (RCPS or whatever its called now), osteo, some funky ass tumor/lymphoma.

Q, DO

MS3 faking to be an MD: Contact dermatitis, Insect bite, breast/lung CA with lymph blockage, "stocking/glove" conversion d/o.

MS3 faking to be an MD: Contact dermatitis, Insect bite, breast/lung CA with lymph blockage, "stocking/glove" conversion d/o.

:idea: If you are who I think you are, youre faking to be a DO not and MD :-P
if not please excuse

Hmm I would guess some kind of overuse syndrome like tendonitis. A DVT would also be likely (how are her pulses? cap refill?);lymphatic blockage maybe related to a tumor as posted above. or maybe mets from some other cancers. Interesting. What is the answer?