Rheumatoid arthritis physical examination: Difference between revisions
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====Skin==== | ====Skin==== | ||
*Rheumatoid nodule found over bony prominences, such as the [[olecranon]], the [[Calcaneus#Calcaneal_tuberosity|calcaneal tuberosity]], the [[metacarpophalangeal joint]]s, or other areas that sustain repeated mechanical stress | *Rheumatoid nodule found over bony prominences, such as the [[olecranon]], the [[Calcaneus#Calcaneal_tuberosity|calcaneal tuberosity]], the [[metacarpophalangeal joint]]s, or other areas that sustain repeated mechanical stress | ||
*[[Erythema nodosum]] | *[[Erythema nodosum]] | ||
*Lobular [[panniculitis]] | *Lobular [[panniculitis]] | ||
*[[Atrophy]] of digital skin | *[[Atrophy]] of digital skin | ||
*[[Palmar erythema]] | *[[Palmar erythema]] | ||
*Diffuse thinning (rice paper skin), and skin fragility | *Diffuse thinning (rice paper skin), and skin fragility | ||
*Beading on the nails | *Beading on the nails | ||
Revision as of 19:34, 13 April 2018
Rheumatoid arthritis Microchapters | |
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Risk calculators and risk factors for Rheumatoid arthritis physical examination | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Physical examination
Appearance of the Patient
- General fatigue and lassitude
Skin
- Rheumatoid nodule found over bony prominences, such as the olecranon, the calcaneal tuberosity, the metacarpophalangeal joints, or other areas that sustain repeated mechanical stress
- Erythema nodosum
- Lobular panniculitis
- Atrophy of digital skin
- Palmar erythema
- Diffuse thinning (rice paper skin), and skin fragility
- Beading on the nails
Eyes
- Dry eyes
- Scleritis
- Keratoconjunctivitis sicca (dry eyes)
- Episcleritis and scleromalacia
Lungs
On Auscultation of lungs:
- Decreased breath sounds on both sides.
- Crackles may be present.
Abdomen
- On palpation:
Extremities
On inspection redness and swelling of the affected joints. On palpation:
- Tenderness
- Pain on movement
- Decreased range of movement