Rheumatoid arthritis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with rheumatoid arthritis usually appear fatigued. On skin examination, rheumatoid nodules, erythema nodosum, atrophy of the digital skin, palmar erythema and diffuse thinning of the skin are found. | |||
==Physical examination== | ==Physical examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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*[[Atrophy]] of digital skin | *[[Atrophy]] of digital skin | ||
*[[Palmar erythema]] | *[[Palmar erythema]] | ||
*Diffuse thinning (rice paper skin), and | *Diffuse thinning (rice paper skin), and of | ||
*Beading on the nails | *Beading on the nails | ||
Revision as of 16:11, 16 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Patients with rheumatoid arthritis usually appear fatigued. On skin examination, rheumatoid nodules, erythema nodosum, atrophy of the digital skin, palmar erythema and diffuse thinning of the skin are found.
Physical examination
Appearance of the Patient
- Patients with rheumatoid arthritis usually appear fatigued.
Vital Signs
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 [1] [2]
- Erythema nodosum
- Atrophy of digital skin
- Palmar erythema
- Diffuse thinning (rice paper skin), and of
- Beading on the nails
Eyes
- Dry eyes
- Scleritis
- 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
References
- ↑ Pham T, Gossec L, Fautrel B, Combe B, Flipo RM, Goupille P, Le Loët X, Mariette X, Puéchal X, Wendling D, Schaeverbeke T, Sibilia J, Sany J, Dougados M (May 2005). "Physical examination and laboratory tests in the management of patients with rheumatoid arthritis: development of recommendations for clinical practice based on published evidence and expert opinion". Joint Bone Spine. 72 (3): 222–8. doi:10.1016/j.jbspin.2004.10.010. PMID 15850993.
- ↑ Medina YF, Ruíz-Gaviria RE, Buitrago-Lopez A, Villota C (February 2018). "Physical articular examination in the activity of rheumatoid arthritis: a systematic review of the literature : Systematic review of the literature regarding physical examination in rheumatoid arthritis". Clin. Rheumatol. doi:10.1007/s10067-018-4015-4. PMID 29464524.