11 results
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... Joint diseases ... , esp carpal, MCP ... Boutonniere's ulnar ... pathophysiology #signs #symptoms
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
in the Hands ... wrist joints are ... deviate toward the ulnar ... #Arthritis #Hands ... #Types #Rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... of Joint Disease ... disease must be ... Paget disease) ... #Pain #MSK #rheumatology
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
and wrist joint ... look for signs of arthritis ... ulna is also seen ... proximal to the carpal ... rheumatological diseases
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
ulnar deviates ... reproduction of patient's symptoms ... physicalexam #sports #msk ... #orthopedics #rheumatology ... #wrist
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
constitutional symptoms ... - Autoimmune Rheumatologic ... Disease OLIGOARTHRITIS ... #Diagnosis #MSK ... #rheumatology #
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Non-autoimmune rheumatologic ... : • Joint pain ... • Swan neck/Ulnar ... arthropathy • 90% joints ... Induced Lupus: • Symptoms
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
Extensor Carpi Ulnaris ... The Extensor Carpi ... the elbow to the hand ... What are the symptoms ... #msk
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
often causes arthritis ... vesicular eruption - Joints ... Presentation - Systemic Symptoms ... retinopathy Lab Tests ... differential #diagnosis #rheumatology
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Diagnostic Tests ... RP-ILD), dermato-rheumatologic ... Syndrome: Fever, joint ... • Nonerosive arthritis ... • Mechanic's hands