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my hands are aching

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Mind Map on my hands are aching, created by Omran Alowais on 25/02/2019.
Omran Alowais
Mind Map by Omran Alowais, updated more than 1 year ago
Omran Alowais
Created by Omran Alowais almost 6 years ago
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Resource summary

my hands are aching
  1. Demography
    1. Farida
      1. 45 years old
        1. clinical presentation
          1. pain in the hand
            1. hand joints
              1. wrist joint
                1. CMC
                  1. MCP
                    1. IP
                    2. hand bones
                      1. Radius
                        1. Ulna
                          1. carpal bones
                            1. Scaphoid
                              1. lunate
                                1. triquitrum
                                  1. pisiform
                                    1. trapezium
                                      1. trapezoid
                                        1. capitate
                                          1. hamate
                                            1. carpal tunnel
                                              1. flexor retinacula
                                                1. Flexor digitorum P and S tendons
                                                  1. Median nerve
                                                    1. Flexor polices longus tendon
                                                      1. Flexor carpi radialus
                                                    2. metacarpal
                                                      1. phalanx
                                                2. Rheumatoid arthritis
                                                  1. Autoimmune disease
                                                    1. immunology
                                                      1. pannus formation
                                                        1. lymphocytes
                                                          1. macrophages
                                                            1. plasma cells
                                                              1. neutrophils
                                                                1. mast cells
                                                                  1. cytokines
                                                                  2. failure of tolerance
                                                                    1. central
                                                                      1. Thymus
                                                                      2. peripheral
                                                                        1. T reg cells
                                                                    2. causes
                                                                      1. genetics
                                                                        1. environmental factors
                                                                      2. affecting the whole body
                                                                        1. joints
                                                                          1. synovial membrane
                                                                            1. synovial fluid
                                                                          2. kidney
                                                                            1. eyes
                                                                              1. Bones
                                                                                1. osteoporosis
                                                                              2. Symptoms
                                                                                1. pain
                                                                                  1. swelling
                                                                                  2. diagnosis
                                                                                    1. criteria
                                                                                      1. RF+
                                                                                        1. IgM
                                                                                          1. Binds to
                                                                                            1. IgG(Anti-DNA)-DNA complex
                                                                                              1. damages the
                                                                                          2. symmetrical arthritis
                                                                                            1. 3 or more joints
                                                                                              1. morning pain >1 hr
                                                                                                1. arthritis of hand joints
                                                                                                  1. rheumatoid nodules
                                                                                                    1. radio changes erosions
                                                                                                      1. Xray
                                                                                                        1. findings
                                                                                                          1. Ulnar deviation of MCP
                                                                                                            1. Swan neck deformity
                                                                                                              1. Butonierre deformity
                                                                                                          2. periarticular osteopenia
                                                                                                            1. FOR >6 weeks
                                                                                                          3. Treatment
                                                                                                            1. NSAIDs
                                                                                                              1. DMARDs
                                                                                                                1. BIO therapies
                                                                                                                  1. corticosteroids

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