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Correspondence
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Volume 340:156 January 14, 1999 Number 2
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The Stethoscope as a Diagnostic Aid in Tenosynovitis

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To the Editor: On September 30, one of us experienced pain at the arch of the right foot. The pain increased, and pressure from the shoe became annoying. In the evening, crepitation was detected on palpation, and a distinct friction rub could be detected by auscultation on movement of the big toe. On the next day, the friction rub was verified by a phonogram (Figure 1). By October 2, the pain had diminished, and two residents were not able to detect crepitation on palpation. On auscultation, however, when the big toe was flexed dorsally and ventrally, a sound . . . [Full Text of this Article]




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