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My Hands Are Aching

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Mind Map on My Hands Are Aching, created by Dua Ga on 17/02/2018.
Dua Ga
Mind Map by Dua Ga, updated more than 1 year ago
Dua Ga
Created by Dua Ga over 6 years ago
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Resource summary

My Hands Are Aching
  1. Anatomy of the hand
    1. Bones
      1. Intrinsic Muscles of the hand
        1. 1st layer
          1. 2nd layer
            1. 3rd layer
              1. 4th layer
              2. HAND INNERVATION
                1. Nerves
                  1. Median
                    1. COMPRESSION
                      1. CARPAL TUNNEL SYNDROME
                      2. INJURY
                        1. APE Hand Deformity
                          1. INABILYTY TO OPOSE THE THUMB
                            1. Atrophy
                        2. Ulnar
                          1. Lesion in the UPPER TRUNK
                            1. paralysis
                              1. PARTIAL CLAW HAND
                          2. Radial
                            1. COMPRESSION ON THE AXILLA
                              1. Wrist/Finger drop.
                            2. Innervation
                          3. Joints
                            1. Types
                              1. Wrist Joint
                                1. Articulations
                                  1. Distal radius with scaphoid & lunate.
                                  2. Movements
                                    1. Flexion
                                      1. Extension
                                        1. Abduction
                                          1. Adduction
                                        2. intercarpal joints
                                          1. between two rows of carpal bones
                                          2. Carpometacarpal joint
                                            1. Between distal row of carpals and proximal end of the metacarpals.
                                            2. Metacarpophalangeal joints
                                              1. between distal metacarpals and proximal phalanges
                                              2. Interphalangeal joints
                                                1. allow mainly flexion and extension.
                                            3. Synovial fluid
                                              1. Functions
                                                1. nutrition of articular cartilage
                                                  1. lubrication
                                                  2. Composition
                                                    1. hyaluronic acid
                                                      1. lubricin
                                                        1. proteinases
                                                    2. Rheumatoid Arthritis
                                                      1. OA vs. RA
                                                        1. autoimmune disease
                                                          1. Dependent on cross reactivity
                                                            1. Link with
                                                              1. MHC class II gene
                                                                1. HLA- DR4
                                                                  1. HLA-DR1
                                                                2. Pathology
                                                                3. Risk Factors
                                                                  1. Age
                                                                    1. 40 & 60
                                                                    2. Gender
                                                                      1. Females
                                                                      2. Family History
                                                                        1. Smoking
                                                                          1. Environmental Exposure
                                                                            1. Obesity
                                                                            2. Neurological examination
                                                                              1. Motor and sensory function
                                                                                1. Pain
                                                                                  1. Numbness
                                                                                    1. Paresthesias
                                                                                      1. Muscle spasm
                                                                                      2. Symptoms
                                                                                        1. Swelling
                                                                                          1. Stiffness
                                                                                            1. Numbness or tingling
                                                                                              1. Joint pain
                                                                                                1. Nodules
                                                                                                2. Investigations
                                                                                                  1. X-ray
                                                                                                    1. ESR
                                                                                                      1. RF latex test
                                                                                                      2. Complications
                                                                                                        1. Fevre
                                                                                                          1. Fatigue
                                                                                                            1. Muscle atropy
                                                                                                              1. Anemia
                                                                                                                1. Sinus
                                                                                                              2. Management of RA
                                                                                                                1. Physiotherapy
                                                                                                                  1. Excercise
                                                                                                                    1. Cold treatment
                                                                                                                      1. Heating modalities
                                                                                                                        1. Hydrotherapy
                                                                                                                          1. Group therapy
                                                                                                                          2. NSAIDS
                                                                                                                            1. pathway
                                                                                                                              1. MoA
                                                                                                                                1. Clinical applications
                                                                                                                                  1. Metastatic bone pain
                                                                                                                                    1. Rheumatoid arthritis
                                                                                                                                      1. Osteoarthritis
                                                                                                                                        1. Acute gout
                                                                                                                                        2. Adverse effects
                                                                                                                                        3. DMARDs
                                                                                                                                          1. Methotrexate
                                                                                                                                            1. Hydroxychloroquine
                                                                                                                                              1. Sulfasalazine
                                                                                                                                                1. Leflunomide
                                                                                                                                                  1. Minocycline
                                                                                                                                                    1. TNF inhibitors
                                                                                                                                                      1. non-TNF inhibitors
                                                                                                                                                      2. Reasons for Noncompliance
                                                                                                                                                        1. Patient-based causes
                                                                                                                                                          1. Physician based causes
                                                                                                                                                            1. Medication based causes

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