Pictorial lesson in MSKPictorial lesson in MSKH LordH Lord

HistoryHistory What will you ask?What will you ask?

HistoryHistory Acute / chronicAcute / chronic Current symptoms: pain, stiffness, Current symptoms: pain, stiffness,

swelling, distribution of jtsswelling, distribution of jts Other systems involvedOther systems involved Impact on pt’s lifeImpact on pt’s life

Examination Examination What will you examine and how?What will you examine and how?

ExaminationExamination IntroduceIntroduce Inspect – symmetry, skin changes, Inspect – symmetry, skin changes,

nails, muscle bulk, swellingnails, muscle bulk, swelling Feel – temperature, swellings Feel – temperature, swellings

( boney, fluctuant, tender, rubbery,)( boney, fluctuant, tender, rubbery,) Move – actively, passively, ROMMove – actively, passively, ROM Assess jt function – arm raising, Assess jt function – arm raising,

eating, gait, etceating, gait, etc

What hand deformities do you What hand deformities do you know?know?

OAOA RARA Other arthropathies?Other arthropathies?

Heberden’s nodesHeberden’s nodes

Bouchard’s nodesBouchard’s nodes

Node?Node?

X ray appearanceX ray appearance

What type of arthritis?What type of arthritis?

RA – list the deformitiesRA – list the deformities

RARA

Arthritis?Arthritis?

Psoriatic arthritisPsoriatic arthritis

Describe this kneeDescribe this knee

X ray correlationX ray correlation

Charcot’s arthropathyCharcot’s arthropathy

What other Dx might this pt haveWhat other Dx might this pt have

Otherwise known as?Otherwise known as?