My hands are aching

My hands are aching

1. Anatomy of the forearm

   • Muscles
   • Nerves
   • Arteries

2. Anatomy of the hand

   • Bones
   • Muscles
   • Nerve supply
   • Carpal tunnel
   • Synovial sheaths
   • Blood arches
   • Ligaments

3. Joints

   • Classification
   • Synovial fluid
   • Joints of the hand

4. Physical examination

5. Movements of the Wrist Joint

6. Rheumatoid Arthritis

   • Immunological aspects
     • Autoreactive T cells
     • Macrophages => TNF
     • Activation of B cells =>Rheumatoid Factors
     • Macrophages => IL-8
   • Biomarkers
     • Rheumatoid Factor
     • Anti-CCP antibodies
     • Others
   • Pathophysiology
   • Criteria For Diagnosis
     • Medical history of joint pain, reported swelling etc..
     • Positive RF and anti-CCP antibodies tests
     • Elevated ESR, CPR levels
     • Abnormal CBC
     • X-ray changes in the hands and wrists
     • Duration of symptoms is more than six weeks
   • Nerve Conduction Studies
   • Systemic manifestations

7. Radiological features of normal wrist and hand

   • The radiographic hallmarks of rheumatoid arthritis
   • Ultrasound

8. Treatment of RA

9. Prognosis of RA

   • Determining factors
     • How advanced is the disease
     • Age
     • How active is the disease
   • Ways to Improve Prognosis

10. Socio-economic effects of hand disability

11. Demographics

    • Farida
    • 45 years old
    • Female

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