My Hands Are Aching

My Hands Are Aching

1. Types of Joints in the Hand

2. Anatomy of the Hand

   • Bones
     • Metacarpals
     • Carpals
       • Scaphoid
       • Lunate
       • Triquetrium
       • Pisiform
       • Trapezium
       • Trapezoid
       • Capitate
       • Hamate
     • Phalanges
   • Muscles
     • Thenar
     • Hypothenar
     • Lumbricals
     • Interossei
   • Neurovasculature
     • Median nerve
     • Ulnar nerve
     • Radial nerve
     • Superficial palmar arch
     • Deep palmar arch

3. Rheumatoid Arthritis

   • Types
     • Non-inflammatory
     • Inflammatory
     • Connective tissue disease
   • Signs & Symptoms
     • Stiffness
     • Swelling
     • Pain
     • Warmth
   • Pathogenesis
     • Initiating factors
     • Development of synovitis
     • Destruction of joint structure
   • Tests & Investigations
     • Blood test
     • Immunological tests
     • X-rays
   • Treatment
     • Analgesics
     • DMARDs
     • Physiotherapy

4. Criteria for Diagnosing Rheumatoid Arthritis

   • Morning stiffness
   • Symmetric soft tissue swelling
   • Arthritis of hand joints
   • Rheumatic nodules
   • Presence of rheumatoid factor
   • Radiological changes

5. Guidelines for Treatment of Rheumatoid Arthritis

6. DMARDs

7. Tests for Rheumatoid Arthritis

   • Phalen Test
   • Tinel's Sign
   • Finkelstein's Test
   • Nerve Conduction
     • Measurement of speed of electric impulse in a nerve

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