Rheumatoid Arthritis

Question 1

What signs do you look on hand exam?

Answer 1

• boutonniere deformity
• z thumb
• swan neck
• ulnar deviation

Question 2

What are extra-articular features?

Answer 2

• anaemia of chronic disease
• Pleurisy, fibrosis, effusion
• Lymphadenopathy
• elbow nodules
• pericardial effusion
• Feltys syndrome (splenomeagly)