Write about Hand Exam here.

Observe:

1. Face
• Systemic sclerosis
• Cushing's
• Acromegaly
• Arcus senilis
• Icterus
• Spider naevi
• exophthalmos
2. Inspect hands
• Rheumatoid
• sclerodactyly
• wasting
• psoriasis
• claw hand
• clubbing
3. Joints
• swelling
• deformity
• Heberden's nodes
4. Nails
• pitting
• onycholysis
• clubbing
• nail-fold infarcts
5. Skin
• colour
• consistency
• lesions
6. Muscles
• wasting
• fasciculation

Palpate and Test:

1. Hands
• Dupuytren's contracture
• nodules
• calcinosis
• xanthomata
• Heberden's Nodes
• Tophi
2. Sensation
• pinprick
• light touch
• vibration
• joint position
3. Tone
4. Power
5. Pulses
6. Elbows