1. Pictorial lesson in MSK
H Lord

2. History
What will you ask?

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

4. Examination
What will you examine and how?

5. 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

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

7. Heberden’s nodes

8. Bouchard’s nodes

9. Node?

10. X ray appearance

11. What type of arthritis?

12. RA – list the deformities

14. RA

15. Arthritis?
Psoriatic arthrits

16. Psoriatic arthritis

17. Describe this knee

18. X ray correlation

19. 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.

20. What other Dx might this pt have
HPOA – Lung CA

21. Otherwise known as?