Rheumatoid Hand Flashcards

1
Q

Steps in examination of Rheumatoid hand

A
1. Look - Deformity - 
•  Ulnar deviation 
•  Swan neck deformity
•  Boutonniere deformity 
•  Z deformity of thumb 
•  Volar sublaxation
•  Inflammation at proximal I/P & MP joints
•  Wasting of small muscles of hand
•  Vasculitic rash
  1. Feel - Ask for pain first
    • Sublaxation of joints–> excess mobility
    • Fixed deformity of joint
    • Palpate the forearm up to elbow for rheumatoid nodule
  2. Test for hand functions
    • Ask - writing, self care e.g. feeding, dressing etc
    • Test - hand grip, thumb opposition
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