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Case Details
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Case Details
Osteoarthritis
Author: Dr. Hasan Altarrah
Published Date: 10/05/2026
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Additional Information:
CC:
Painful, stiff fingers or hand pain or problems with hands
Description
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Description
Differential Diagnosis
Rheumatoid arthritis
Psoriatic arthritis
Osteoarthritis
Gout
Assess Activity
Red, swollen, hot and painful hands imply active disease
Assess Function
Squeeze my finger
Pick up a coin
Pretend to use key
Ask if wheelchair, walking aid or splints are used
Rule Psoriasis
Nail changes
Psoriatic lesions in elbows, behind ears and scalp
Rule Gout
Ask about alcohol, diet, renal failure or diuretic use
Swelling of small joints of hands or feet (commonly first MTP joint)
Gout tophi (chalky white deposits) around joints, ears and tendons
Rule Osteoarthritis
Reduced movement & function
Heberden’s & Bouchard’s nodes at the PIP joints
Carpal tunnel syndrome or scars
Do Phalen’s & Tinel’s maneuvers
Disuse atrophy of hand muscles
What Will You Do?
Basic profile like CBC, RFT
ESR and CRP
Uric acid levels
Synovial fluid analysis for gout
X-ray hand
Rheumatoid factor & anti-CCP
Management of Osteoarthritis
Weight loss
Simple analgesia
Joint replacement
Physiotherapy
Occupational therapy
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