Upper Limb Examination

Question 1

Scheme & Tips of UL Examination

Answer 1

Question 2

Causes of warmness of the hand

Answer 2

• Hot weather
• Causes of hyperdynamic circulation as LCF, hyperthyroidism

Question 3

Causes of coldness

Answer 3

• Cold weather
• Anxiety – neurosis
• Shock
• Causes of peripheral cyanosis

Question 4

Causes of sweeting

Answer 4

Question 5

Causes of Palmer erythema

Answer 5

• Rh. Arthritis & SLE
• Polycythemia
• Pregnancy
• Thyrotoxicosis
• LCF

Question 6

Spade hand

Answer 6

Acromegaly

Question 7

Dupuytren contracture

Answer 7

DM

Question 8

Joint deformities & Muscle wasting

Answer 8

Rh Arthritis & SLE

Question 9

White Nails

Answer 9

Leukonychia in LCF (hypoproteinemia)

Question 10

Half white & half yellow Nails

Answer 10

Renal Failure

Question 11

Splinter hemorrhage

Answer 11

Infective endocarditis, vasculitis.

Question 12

Capillary pulsations

Answer 12

AR

Question 13

Causes of Fine tremors

Answer 13

Special habits: smoking, alcoholism & ↑↑ tea & coffee

Physiological: exercise, anxiety & fatigue.

Thyrotoxicosis

Drugs: B2 agonist & Aminophylline

Question 14

Causes of Flapping Tremors

Answer 14

• LCF
• CRF
• RF

Question 15

Causes of Carpal tunnel syndrome

Answer 15

• Acromegaly
• DM
• Hypothyroidism
• Rh. Arthritis
• Pregnancy
• Contraceptive pills

Question 16

Tests done for carpal tunnel

Answer 16

Tinnel & Phalen

Question 17

Skin Findings in UL

Answer 17

Striae – purpura – ecchymosis - Acanthosis nigricans

Question 18

LNs in UL Ex

Answer 18

Axillary - epitrochlear examination

Question 19

Joints in UL Ex

Answer 19

• Frozen shoulder.
• limited movements in Rh arthritis