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Medicine

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Rheumatology

Question
7 out of 30
 

Ulnar deviation of fingers is Pathognomic of which of the following condition? (AIIMS May 07)



A SLE
B RA

C Scleroderma
D Psoriasis

Ans. B RA

In RA, Articular manifestations (Erosive arthritis)

Pain aggravated by movement is the most common manifestation

i. Joint swelling, tenderness and limitation of motion

ii. The DIP joints rarely involved. Q

iii. Baker’s cyst – caused by extension of inflamed synovium into the popliteal space.

iv. Axial involvement is limited to atlantoaxial joint Q (cervical spine)

v. Characteristic deformities of hand include –

a. Z deformity – Radial deviation of wrist with ulnar deviation of the digits, Ulnar deviation of fingers is Pathognomic (AIIMS May 2007)

b. Swan – neck deformity – Extension contracture of PIP joints with compensatory flexion of DIP joints

c. Boutonniere deformity – flexion of PIP joints with extension of DIP joints.

d. Eversion at hindfoot(subtalar joint), plantar subluxation of metatarsal heads, widening of forefoot, hallux valgus, and lateral deviation and dorsal subluxation of toes; hammer toe.

e. Wind - sweep deformities of toes i.e. valgus deformities of toes in one foot and varus in other, (as wind sweeps all the structure in one direction).

Extra Edge of RA : Back ache is not a symptom.

Radial deviation of wrist & ulnar deviation of finger is the most pathognomic feature. (AIIMS May 07)

Rheumatology Flashcard List

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