With reference to the image depicted below:
a) What is the diagnosis?
b) List three characteristic signs of your diagnosis shown in the image.
c) List three abnormalities that may be seen on chest XRay in this condition
The free-to-use image displayed above is not the image from the CICM paper, but a picture of rheumatoid arthritis hands from a Wikipedia article.
The following physical signs are still obvious:
In general, the clinical features of rheumatoid arthritis include the following:
The site clinicalexam.com has an excellent entry on RA, with extensive lists of signs and examination techniques.
Pulmonary involvement in rheumatoid arthritis tends to manifest in the following ways:
Talley and O'Connor is a good source for the clinical features of RA.
Arnett, Frank C., et al. "The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis." Arthritis & Rheumatism31.3 (1988): 315-324.
Anaya, Juan-Manuel, et al. "Pulmonary involvement in rheumatoid arthritis."Seminars in arthritis and rheumatism. Vol. 24. No. 4. WB Saunders, 1995.
Grassi, Walter, et al. "The clinical features of rheumatoid arthritis." European Journal of Radiology 27 (1998): S18-S24.
Krane, S. M., and L. S. Simon. "Rheumatoid arthritis: clinical features and pathogenetic mechanisms." The Medical clinics of North America 70.2 (1986): 263-284.