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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Assessment of apical radial pulse01:25

Assessment of apical radial pulse

729
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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Updated: Jun 7, 2025

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Outcome Assessments for the Rheumatoid Hand.

Susanna Stjernberg-Salmela1, Jorma Ryhänen1

  • 1Department of Musculoskeletal and Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.

Hand Clinics
|November 9, 2024
PubMed
Summary

Standardized outcome measures for rheumatoid arthritis hand function are lacking. Combining objective clinical tests with patient-reported outcomes is crucial for effective evaluation and postoperative care.

Keywords:
FunctionHand surgeryPatient-rated outcome measuresRheumatoid arthritis

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Area of Science:

  • Rheumatology
  • Orthopedics
  • Rehabilitation Medicine

Background:

  • Rheumatoid arthritis significantly impairs hand function and quality of life.
  • A lack of standardized outcome measures hinders comparative studies and treatment evaluation.
  • Traditional clinical assessments include range of motion, grip strength, and functional tests like the Jebsen-Taylor Hand Function Test.

Purpose of the Study:

  • To highlight the importance of standardized outcome measures in rheumatoid arthritis hand assessment.
  • To discuss the role of both objective clinical assessments and patient-reported outcome measures.
  • To emphasize the need for a combined approach in evaluating treatment efficacy and postoperative care.

Main Methods:

  • Review of existing clinical assessment tools for rheumatoid arthritis hand function.
  • Discussion of performance-based tests (e.g., range of motion, grip, Jebsen-Taylor Hand Function Test).
  • Evaluation of patient-reported outcome measures (e.g., Cochin Hand Disability Scale, Michigan Hand Outcomes Questionnaire) and generic instruments.

Main Results:

  • Performance-based tests are crucial for evaluating treatment effects, particularly post-surgery.
  • Patient-reported outcome measures are increasingly significant for assessing surgical results.
  • Both disease-specific and generic patient-reported outcome measures are valuable in follow-up.

Conclusions:

  • A comprehensive evaluation of rheumatoid arthritis hand patients requires integrating objective clinical measures with patient-reported outcomes.
  • This combined approach is essential for effective postoperative care and treatment assessment.
  • Standardization of outcome measures remains a critical need in rheumatoid arthritis hand research.