This 66M w h/o DM2, renal transplant presented with severe volar hand and wrist pain x 1 wk, afebrile. From this clip of his index finger, what's the diagnosis? ... Flexor tenosynovitis! Pt taken to OR for I&D, carpal tunnel release. Interesting, all cultures negative, likely acute on chronic infection. Pt dc'd on 6 wks of IV vanc/cefepime. Here's a transverse view of the volar wrist showing extensive fluid surrounding flexor tendons. UAB Emergency US @UAB_Sono #Clinical #POCUS #Flexor #Tenosynovitis #Transverse
