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Remitting seronegative symmetrical synovitis with pitting edema (or sometimes RS 3 PE) is a rare syndrome identified by symmetric polyarthritis, synovitis, acute pitting edema (swelling) of the back of the hands and/or feet, and a negative serum rheumatoid factor. [2]
Diagnosis is supported if pain increases when the wrist is bent inwards while a person is grabbing their thumb within a fist. [ 4 ] [ 6 ] Treatment for de Quervain tenosynovitis focuses on reducing inflammation, restoring movement in the thumb, and maintaining the range of motion of the wrist, thumb, and fingers. [ 6 ]
The approach to diagnosis depends on the joint involved. While aspiration of the joint is considered the gold standard of treatment, this can be difficult for joints such as the hip. Ultrasound may be used both to verify the existence of an effusion and to guide aspiration.
Electromyography and imaging of the cervical spine can help to differentiate cervical radiculopathy from carpal tunnel syndrome if the diagnosis is unclear. [5] Carpal tunnel syndrome is sometimes applied as a label to anyone with pain, numbness, swelling, or burning in the radial side of the hands or wrists.
Kanavel's sign is a clinical sign found in patients with infection of a flexor tendon sheath in the hand (pyogenic flexor tenosynovitis), a serious condition which can cause rapid loss of function of the affected finger. [1] The sign consists of four components: [2] the affected finger is held in slight flexion.
Machine differential diagnosis is the use of computer software to partly or fully make a differential diagnosis. It may be regarded as an application of artificial intelligence. Alternatively, it may be seen as "augmented intelligence" if it meets the FDA criteria, namely that (1) it reveals the underlying data, (2) reveals the underlying logic ...
Regarding incomplete/atypical presentation, American Heart Association guidelines state that Kawasaki disease "should be considered in the differential diagnosis of prolonged unexplained fever in childhood associated with any of the principal clinical features of the disease, and the diagnosis can be considered confirmed when coronary artery ...
Upper extremity infections or injuries are among the leading causes of axillary lymphadenopathy. Cat scratch disease, tularemia, and sporotrichosis are common infectious etiologies caused by inoculation and lymphatic drainage.