Pictorial lesson in MSK H Lord

History What will you ask?

History Acute / chronic Current symptoms: pain, stiffness, swelling, distribution of jts Other systems involved Impact on pt’s life

Examination What will you examine and how?

Examination Introduce Inspect – symmetry, skin changes, nails, muscle bulk, swelling Feel – temperature, swellings ( boney, fluctuant, tender, rubbery,) Move – actively, passively, ROM Assess jt function – arm raising, eating, gait, etc

What hand deformities do you know? OA RA Other arthropathies?

Heberden’s nodes

Bouchard’s nodes

Node?

X ray appearance

What type of arthritis?

RA – list the deformities

RA

Arthritis? Psoriatic arthrits

Psoriatic arthritis

Describe this knee

X ray correlation

Charcot’s arthropathy Type 1 or 2 DM diabetic neuropathy is always present and quite severe. Typically, the foot suddenly becomes very swollen and warm to touch . The patient can recall no history of trauma or only a very minor episode (eg. twisted the ankle a few weeks ago). The first clue to the diagnosis is the disproportionate lack of pain. The second clue is the slowness of recovery. (i.e the swelling does not go away). X-ray at this stage may be normal or show a minor fracture but may already show quite gross bone destruction.

What other Dx might this pt have HPOA – Lung CA

Otherwise known as?