On inspection remember to look for "SEADS" - swelling, erythema, atrophy, deformities, skin changes.Wrist:
- Often has Radial deviation
- You may see a 'dinner fork' deformity at the wrist
Hand:
- Look for muscle atrophy in the interossious, thenar, and hypothenar regions
- Look and feel for Tendon nodules, and contractures
Fingers:
- Vasculitic nail changes: nail fold infarcts, periungual erythema
- Ulnar deviation of MCP's
- Swelling of the PIP's, the DIP's become involved later in the disease
- Swan Neck deformities (see photo above)
- Boutonniere deformitiy (see photo above)
Great stuff....
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