Symptoms: Painful Swelling of the HandFilippone, Lisa M. MDEmergency Medicine News: June 2004 - Volume 26 - Issue 6 - p 6 Quick Consult Author InformationAuthors Dr. Filippone is an assistant professor of emergency medicine at Drexel University College of Medicine and the director of the Division of Emergency Ultrasound at Mercy Hospital of Philadelphia. Figure This 67-yearold man presented to the ED because of swelling in his hand over two days. He said two nights before, he woke with pain in his hand. He took Motrin with minimal relief. His history is significant for diabetes mellitus and hypertension. He takes water pills and insulin. He denies trauma, fever, or drug use but does smoke and drink beer. When you try to move his left ring finger, he is in extreme pain and pulls his hand away. What is the diagnosis? See p. 10. Figure © 2004 Lippincott Williams & Wilkins, Inc.