He has a 7 X 9 millimeter subcutaneous nodule near the distal interphalangeal joint. Capillary refill is less than 2 seconds. Two point sensation is intact to less than 5 millimeters. Flexor digitorum profundus and superficialis function are normal. Extensor digitorum comminus function is normal.
Strength is normal.
The rest of the physical exam is normal. Complete blood count is normal. Right middle finger x-rays reveal no fractures or dislocation a with soft tissue mass on the radial aspect of the finger. The opinions and assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the Departments of Army and Air Force, or the Department of Defense. Funding for color reproduction of the published photographs has been provided through a grant to the publisher by Clinical Communications Inc. of Greenwich CT, a medical education and publishing company that develops educational programs for health care professionals.