Achenbach’s Syndrome - A previously healthy 66-year-old woman presented with sudden-onset pain and bruising in her right middle finger. A physical examination revealed subcutaneous hematoma and swelling with normal capillary refill and sensation. The skin color of the fingers did not change in response to exposure to cold. #Clinical #Hand #PrimaryCare #AchenbachsSyndrome #Achenbach #Syndrome #Coagulopathy #SpontaneousBleeding #Bruising #DigitalBleeding #NEJM