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Exam questionKROK 2Medicine ยท 2021

A 39-year-old worker complained to a doctor about aching pain and numbness in the hands and forearms, decreased muscle strength of the hands, sleep disturbances, irritability and hearing loss. The data of the professional anamnesis testify that the worker within 12 years working as a driller, using a drill weighing 20 kg. Objectively established: the skin of the hands has a bluish tinge, there is swelling of the fingertips, abrasion skin pattern, slight deformation of the interphalangeal joints, decreased tactile, temperature and pain sensitivity. What is the most likely diagnosis?

Answer options

  1. Rheumatic polyarthritis
  2. Raynaud's disease
  3. Neuro-circulatory dystonia
  4. Vibration disease caused by general vibration
  5. Vibration disease caused by local vibration
Correct answer

Vibration disease caused by local vibration

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