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aching hands

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Medicine Mind Map on aching hands, created by rania khalil on 03/03/2017.
rania khalil
Mind Map by rania khalil, updated more than 1 year ago
rania khalil
Created by rania khalil almost 8 years ago
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Resource summary

aching hands
  1. Anatomy of the hand
    1. Synovial joint
      1. inflammation leads to
        1. joint arthritis
          1. septic arthritis
            1. reactive arthritis
              1. gouty arthritis
              2. degenerative arthritis
                1. rheumatoid arthritis
                  1. signs and symptoms
                    1. stiffness
                      1. swelling
                        1. limitation in ROM
                          1. bone erosion
                          2. positive signs in history taking
                            1. age
                              1. gender
                                1. family history
                                  1. previous infections
                                  2. investigations
                                    1. anti CCP
                                      1. CRP levels
                                        1. X rays
                                          1. rheumatoid factor
                                          2. cartilage destruction
                                            1. chronic inflammation
                                              1. by
                                                1. MMPS & chondrocytes
                                                  1. by
                                                    1. osteoclastogenesis
                                                    2. by
                                                      1. Pannus formation
                                                        1. causes
                                                    3. immunological aspects
                                                      1. Pathophysiology
                                                        1. complications
                                                          1. anemia
                                                            1. eye redness
                                                              1. osteoporosis
                                                              2. epidemiology & risk factors
                                                                1. 3:1 female to male ratio
                                                                  1. 1% prevalence
                                                                    1. more common in old age
                                                                  2. Management
                                                                    1. DMARDS
                                                                      1. Methotrexate
                                                                        1. Hydroxychloroquine
                                                                          1. Sulfasalazine
                                                                            1. Leflunomide
                                                                              1. Minocycline
                                                                              2. TNF inhibitors
                                                                                1. non-TNF biologic therapy
                                                                                  1. Physiotherapy

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