RT Book, Section
A1 Zaudke, Jana K.
A1 Chumley, Heidi S.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164352060
T1 Osteoarthritis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164352060
RD 2024/04/20
AB A  70-year-old  woman  presents  with  pain  and  swelling  in  the  joints  of  both  hands,  which  impedes  her  normal  activities.  Her  pain  is  better  in  the  morning  after  resting  and  worse  after  she  has  been  working  with  her  hands.  She  denies  stiffness.  On  examination,  you  find  bony  enlargement  of  some  distal  interphalangeal  (DIP)  and  proximal  interphalangeal  (PIP)  joints  on  both  hands  (Figure  98-1).  Radiographs  confirm  the  presence  of  Heberden  and  Bouchard  nodes.  She  begins  taking  1  g  of  acetaminophen  twice  a  day  and  has  significant  improvement  in  her  pain  and  function.