Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, firm, non-tender mass on the right finger. Onset is gradual, with no history of acute trauma. Patient reports intermittent discomfort during gripping activities and aesthetic concerns. No history of constitutional symptoms, numbness, or paresthesia.
Clinical Examination Findings
Physical examination of the right hand reveals a well-circumscribed, firm, cystic mass located [insert location, e.g., dorsal aspect of the PIP joint]. The mass is mobile, non-pulsatile, and demonstrates positive transillumination. No overlying skin changes, erythema, or signs of infection. Range of motion of the affected finger is preserved, though terminal flexion may be slightly limited by mass effect. Neurovascular status is intact distally.
Treatment Protocol
Discussed conservative management options including observation, splinting, or aspiration. Risks and benefits of surgical excision were explained, including the risk of recurrence. Patient opted for [aspiration / surgical excision / observation]. Procedure performed under local anesthesia with sterile technique. Post-procedure instructions provided.