{"ops":[{"insert":"An 18 year old girl from south asia presents with intermittent pain of the right hand for 6 weeks.\n\nShe was diagnosed with pulmonary tuberculosis 2 years ago, which was treated with a full course of therapy for 6 months. Followup for an year afterwards showed no evidence of recurrence.\n\nHer ESR is 120 mm\/1h.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-014_en.png"}},{"insert":"\n"}]}
2
Investigate
Tuberculin Test
{"ops":[{"insert":"The tuberculin test is positive (11 mm induration).\n"}]}
Chest X-Ray
{"ops":[{"insert":"The chest x-ray shows fibrosis of the apex of the left lung. There are no cavitations, fluffy shadows or effusions. There is no evidence of a cervical rib.\n"}]}
