My hands are aching

My hands are aching

1. arthrritis

   • what is it
     • is an inflammation of a joint
   • types
     • septic arthritis
     • gouty arthrites
     • reactive arthritis
     • degenerative arthritis
     • juvenile idiopathic arthritis
     • rheumatoid arthritis
       • signs and symptoms
         • fever
           • arthralgias
             • rheumatoid nodules
               • joint inflammation and swelling
                 • deterioration
                   • difficulty doing movements
                     • morning stifness
       • clinical findings
         • boutonniere deformity
         • swan neck deformity
       • physical examination
       • complications
         • anemia
           • scleritis
             • neutropenia
               • pericarditis
                 • pleuritis
                   • lymphadenopathy
                     • conjunctivitis
       • risk factors
         • age
           • gender
             • obesity
               • smoking
                 • family history
                   • environmental exposure
       • management
         • pharmacotherapy
           • NSAIDs
             • iboprufen
               • naproxen
                 • ketoprofen
                   • aspirin
                     • voltarine
           • TNF inhinbitors
             • adalimumab
               • infliximab
                 • etanercept
           • DMARTs
             • methotrexane
               • hydrochloroquine
                 • sulfasalazine
                   • minocycline
                     • leflunomide
         • physiotherapy
           • electrical stimulation
           • therapeutic exercise
           • cold/hot application
           • rehabilitative treatment
           • splinting
         • surgery

2. anatomy of hand

   • bones
   • joints
   • muscles

3. radiology

   • joint imaging is a valuable tool not only for diagnosing RA, but also for tracking progression of any joint damage

4. synovium

   • cells
     • intimal cells
       • macrophage-like synovial cells
       • fibroblasts synovial cells
   • synovial joints
   • synovial sheath
   • synovial fluis
     • what is this
       • is a viscous, non-newtonian fluid found in the cavities of synovial joints
     • components
       • proteinases
       • collagenases
       • lubricials
       • hyaluronials
   • membrane
     • subintima
     • intima

5. defensive mechanism

   • to use a certain method of sphychological behavior so that it defends you from any thing that may hurt you mentally of physically
     • narcisstic defence
       • projection
         • denial
           • conversion
     • immature defence
       • regression
         • somatization
     • anxiety defence
       • displacement
         • repression
     • mature defence
       • suppression
         • sublimation

6. carpel tunnel syndrome

   • thickening of the ligaments that presses the median nerve on the flexor retinaculum
     • clinical feature
       • numbness and pain in 3 and a half fingers with the lateral side of the hand

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