39 results
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Hand - Arthritis ... subluxation causing ulnar ... • MCP + PIP + Wrist ... Hemochromatosis • Wrist ... #diagnosis #rheumatology
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Common Forms of Arthritis ... wrist joints are ... deviate toward the ulnar ... #Arthritis #Hands ... #Types #Rheumatology
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... (wrists, metacarpal-phalangeals ... , esp carpal, MCP ... Boutonniere's ulnar ... fingers, radial wrist
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
arthritis if missed ... onto outstretched hand ... dorsum of the hand ... distal to distal ulna ... , pain with wrist
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Extra-articular and ... Associated with Joint ... Heberden's nodes (DIP joints ... #pain #differential ... #diagnosis #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... present both at rest ... improves quickly with rest ... #Pain #MSK #rheumatology ... approach #workup #differential
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Lyme), reactive arthritis ... SLE, psoriatic arthritis ... #rheumatology # ... approach #workup #differential ... #diagnosis #arthritis
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 ... Other hand - In
Ulnar Compression Test - Ulnar Tunnel Syndrome

The ulnar compression test evaluates for ulnar tunnel syndrome.
Provide direct
Test - Ulnar Tunnel ... compression test ... tunnel or Guyon's canal ... Tunnel #Syndrome #wrist ... #hand #PhysicalExam
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... an accessible joint ... the workup • Test ... Painless) Purulent Arthritis ... , knees, wrists,