Hand & Wrist Exam
Hand & Wrist Exam
 

Hand & Wrist Swelling

 
 
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Joint Swelling

    • Look For

    • Generalised swelling over one or both wrists. May be associated with redness, tenderness or warmth.
    • Causes of Joint Swelling

    • Trauma - fracture, muscle sprain or rupture, compartment syndrome
    • Musculoskeletal - osteoarthritis, rheumatoid arthritis, septic arthritis, gout, pseudogout, reactive arthritis, psoriatic arthritis, tenosynovitis
    • Skin / soft tissue infection - cellulitis, abscess, necrotizing fasciitis, gas gangrene
    • Vascular - acute ischaemia, DVT, superficial thrombophlebitis, venous insufficiency, lymphoedema
    • Systemic - heart failure, cirrhosis, nephrotic syndrome, malnutrition

Dactylitis

    • Look For

    • Inflammation of an entire digit due to synovitis of each joint, resulting in a ‘sausage-like’ digit.
    • Significance

    • Dactylitis is classically pathognomonic of psoriatic arthritis.
    • Causes of Dactylitis

    • Psoriatic arthritis
    • Reactive arthritis
    • Sarcoidosis
    • Gout
    • Tuberculosis
    • Flexor tendon sheath infection
Last updated on August 17th, 2019
 
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