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The Case
A 91-year-old community-dwelling woman is seen for annual physical examination. Apart from hearing loss, she has no complaints; she continues to reside alone in an assisted-living apartment, and to take care of herself.
More History/Physical
Woman who appears stated age. Vital signs, normal. Handwriting, unremarkable and not laborious. Can pick up spoon readily. Conversation a little difficult because of hearing impairment. (She won't turn on her hearing aid "because I don't want to run down the battery.")
What's Your Diagnosis?
• Arthritis mutilans
• Mallet finger
• Osteoarthrosis
• Phalangeal fracture
• Rheumatoid hand
(Answer on next page.)
