<human>: Hi. Ive punched something hard in frustration today and a lump immediately appeared on the top of my hand. Its painful but not as much as it looks. Can you tell me what the general diagnosis of this is and whether it is any use to seek further treatment or whether i should just ice and rest it?
<bot>: Hi. Thanks for your query. Read the history and understood your concerns. Punching hard by the hand in frustration followed by an immediate swelling on the affected area can be due to wither of the following:Either contusion may be with rupture of vein or so can cause immediate swelling, but this will not cause dysfunction or painful movements of the wrist or fingers. Another cause can be fracture and this necessarily will not allow proper function of the parts involved. This can be diagnosed or ruled out by 2 X-rays of the affected part in opposite views and if the fracture is present you have to have an opinion and further management by an Orthopedic Surgeon. If no fracture then elevation of the affected part above heart level, anti-inflammatory medications, pressure bandage without occlusion of arterial supply or return of venous Chat Doctor.  Be this too under the care and guidance of your Doctor.