Morning Stifness: morning stifness lasting at least 1h since the start of the stifness till the complete remision.
Arthritis in three or more joints: Arthritis in three or more joints regions of the fourteen following: metacarpophalageal, proximal interphalageal, wrists, eldbow, knees, anckles and metatarsophalangeal.
Arthritis in the hand: arthritis in the wrist, metacarpophalangeal and proximal interpahlangeal joints.
Symetric Arthritis: The arthritis is symetric and do not affect the lumbar region except the cervical region.
To this part of the list the symptoms has long at least six months.
Rheumatoid Nodules: Subcutaneous nodules in the joints or over bony prominences.
Rheumatic Factor: Rheumatic factor positive and Anti-CCP
Radiographs: Imaging tests indicating rheumatoid arthritis.
If > or = 4 there is Rheumatoid Arthritis diagnose and if the result is 2 the physician cannotexclude the diagnose.
Clinical aspects
There is historical description for rheumatoid arthritis and several presentation forms.
Z deformity: deviation at the wrist with ulnar deviation of the digits, often with palmar subluxation of the proximal phalanges.
Swan-Neck deformity: Flexion of distal interphalangeal joints and extension of metacarpophalangeal joints.
Boutoniere deformity: Extension of the distal interphalangeal joint and flexion of the proximal metacarpophalangeal joint.
Mallet finger: is a swan-neck deformity of the finger with loss of movility and pinch.
Hallux Valgus: is a foot deformity in which the toe has a lateral deviation.
Baker cyst: Is due to accumulation of sinovial fluid of the knee joint in the popliteal region.
1 comentario:
You are now talking health reform will be changed soon; we trust that Obama and his staff do what is necessary for the welfare of families. This reform must be appropriate because many families depend on it, the health system a long time that is weak and patients suffering from cancer, chronic fibromyalgia, rheumatoid arthritis, Parkinson's, diabetes, chronic pain, chronic anxiety among many other diseases, Need proper medical attention, according to the measure should be findrxonline for 80% of patients with these diseases.
Publicar un comentario