Hand Findings Semiology

Question 1

Arachnodactyly

Answer 1

Marfan syndrome - long fingers

Question 2

Bouchards node

Answer 2

Protuberance of PIP without inflammation - osteoarthritis

Question 3

Boutonnirere dermotiy

Answer 3

Ex at DIP and flexion at PIP…severe and chronic RA

Question 4

Dupuytrans contracture

Answer 4

SHorteirng of finger flexors in the palm…alcohol abuse and cirrhorsis

Question 5

Heberdens node

Answer 5

Bony protuberance of DIP without inflammation - OA

Question 6

Janeway lesion

Answer 6

Painless red macular lesion of palsm/soles produced by emoblism, due to IE

Question 7

Joint hypermobility

Answer 7

Ability to dorsiflex 5th finger more than 90 degres…Ehler-s Danglos

Question 8

Large-fleshy hands

Answer 8

Acromegaly if no rings

Question 9

Mechanics hands

Answer 9

Thickened, cracke,d and dirty appearing palmar skin…anti-synthetase syndrome of DM

Question 10

Osler node

Answer 10

Subacture bac endocarditis…painful and red raised lesion of ventral surface of fingers and toes from IC depostion

Question 11

Pallow

Answer 11

Of nail peds and palsm associated iwth severe anemia

Question 12

Swan neck

Answer 12

Ext at PIP and flexion at DIP…severe, chronic RA