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It is usually a simple matter to decide whether the deformity is due to neurologic disease or to joint or bone disease. An x-ray film of the hands or feet may be useful in acromegaly and many congenital disorders. Referral to an orthopedic or neurologic specialist is usually indicated if bone or neurologic involvement is probable. An arthritis workup can be done (see page 343) if joint disease is the cause of the deformity.
Source: Differential Diagnosis in Primary Care, 2007
It is usually a simple matter to decide whether the deformity is due to neurologic disease or to joint or bone disease. An x-ray film of the hands or feet may be useful in acromegaly and many congenital disorders. Referral to an orthopedic or neurologic specialist is usually indicated if bone or neurologic involvement is probable. An arthritis workup can be done if joint disease is the cause of the deformity.
Source: Differential Diagnosis in Primary Care, 2007
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