TY - CHAP M1 - Book, Section TI - Osteoarthritis 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. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1164352060 ER -