PMC3101975_01
The dorsal aspect of the patient's hands revealed abrasions, callosities, and scarring.
11606_2010_1613_Fig1_HTML.jpg
PMC3101975_01_11606_2010_1613_Fig1_HTML.jpg
Fig1
The dorsal aspect of her hands revealed abrasions, callosities, and scarring (Fig. 1). Figure 1 demonstrates Russell's sign, with abrasions on the dorsum of the hand from contacting the incisors during self-induced vomiting.
The patient's hands were contracted in tetany, flexed at the metacarpophalangeal joints, with extension at the interphalangeal joints with the thumb flexed and adducted.
11606_2010_1613_Fig2_HTML.jpg
PMC3101975_01_11606_2010_1613_Fig2_HTML.jpg
Fig2
Her hands were contracted in tetany, flexed at the metacarpophalangeal joints, with extension at the interphalangeal joints with the thumb flexed and adducted (Fig. 2). Figure 2 shows an obstetrician or accoucheur's hand, demonstrating the resemblance of tetany to the position one's hand is held in while performing a vaginal delivery.