Diagnostic Tests for Hand conditions
Hand conditions Tests: Book Excerpts
Hand conditions Diagnosis: Book Excerpts
Diagnostic Tests for Hand conditions: Online Medical Books
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Wrist/Hand Pain:
Diagnostic Approach
(Field Guide to Bedside Diagnosis)
Pain, swelling, and fusiform enlargement of multiple hand joints is characteristic of inflammatory arthritis. Involvement of the DIP joints is seen with psoriatic arthritis, and of the PIP and MCP joints with rheumatoid arthritis. Osteoarthritis involves both the PIP and DIP joints, but the swelling is more bony than soft tissue.
With infection, swelling is most prominent in the dorsum of the hand regardless of the original location.
Grip strength can be compared grossly by simultaneously gripping the examiner’s fingers using both hands, or quantitatively by gripping a tightly rolled, slightly inflated blood pressure cuff.
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Source: Field Guide to Bedside Diagnosis, 2007
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