Spot Dx — Can you hit this nail injury on the head?

Aaron is a 50-year-old builder who presents after dropping a marble benchtop on the tip of his right middle finger. 

Test your clinical know-how by taking the quiz below. If you select the wrong answer, have another go — you can try as many times as you like!

Aaron is a 50-year-old builder who presents after dropping a marble benchtop on the tip of his right middle finger. He reports that the finger swelled, “hurt like crazy and looked wrong” immediately after the injury.

Aaron is generally well, with well-controlled hypertension on candesartan. He has no other past history of note.