[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-26616-105":3,"detail-sidebar-cat-0-en-105":65,"doc-detail-26616-en":114},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":57,"head_meta":60,"extra_data":62,"updated_unix":64},105,"en","hand-examination-medicen-rheumatology-system","Hand Examination Medicen Rheumatology System","","This document, titled \"Hand Examination Medicen Rheumatology System,\" is a chapter authored by Dr. Mohcen Al. Haj, focusing on the systematic inspection of the hand in the context of rheumatology. The examination begins with a detailed look at the nails, with specific attention paid to their color, shape, and any abnormalities. The inspection progresses from the distal to proximal parts of the hand.  Specific nail conditions discussed include Nail Fold Color, which can indicate conditions like Reynaud’s Phenomena, associated with SLE, Rheumatoid Arthritis, and Scleroderma. Nail Clubbing is highlighted with a differential diagnosis list that includes Lung Cancer, Bronchiectasis, Lung Abscess, Interstitial Lung Disease, Infective Endocarditis, Cyanotic Heart Disease, Celiac Disease, Inflammatory Bowel Disease, Liver Cirrhosis, and Hyperthyroidism. Nail Splinter Hemorrhage is mentioned as a potential sign for SLE, Infective Endocarditis, and trauma. Nail Pitting, characterized by small depressed points on the nail surface, is associated with Psoriasis, Lichen Planus, and Chronic Renal Failure. Leukonychia, or white nails, can be indicative of Liver Cirrhosis, Malnutrition (Hypoalbuminemia), or be idiopathic.  The document also covers Half & Half Nail (proximal white, distal brown), linked to Chronic Kidney Disease, and Onycholysis (separation of the nail from the nail bed), which can be a symptom of Psoriasis, Lichen Planus, or trauma. The document emphasizes a structured approach to hand examination within the field of rheumatology, providing a diagnostic framework for various nail-related findings and their potential underlying systemic conditions.",{"@graph":14,"@context":56},[15,34],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/hand-examination-medicen-rheumatology-system/26616/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/hand-examination-medicen-rheumatology-system/26616.png","ImageObject",300,407,{"name":42,"@type":43},"Ezra","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-23","2026-05-08",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,"https://schema.org",{"og:url":58,"og:type":59,"og:title":10,"og:site_name":45,"og:description":12},"https://docshare.wps.com/document/hand-examination-medicen-rheumatology-system/26616","article",{"robots":61,"canonical":58},"index,follow",{"doc_id":63,"site_id":7},26616,1778199125,{"code":4,"msg":66,"data":67},"success",[68,72,76,80,85,89,93,98,103,106,110],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":69,"show_sort_weight":70,"slug":71},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":73,"show_sort_weight":74,"slug":75},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":77,"show_sort_weight":78,"slug":79},"Exam",70,"exam",{"id":81,"doc_module":4,"doc_module_name":25,"category_name":82,"show_sort_weight":83,"slug":84},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},"Technology",50,"technology",{"id":90,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":91,"slug":92},7,40,"healthcare",{"id":94,"doc_module":4,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},8,"Research & Report",30,"research-report",{"id":99,"doc_module":4,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},9,"Religion & Spirituality",20,"religion-spirituality",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":104,"show_sort_weight":101,"slug":105},"World Cup","world-cup",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":108,"show_sort_weight":107,"slug":109},10,"Lifestyle","lifestyle",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":81,"slug":113},19,"General","general",{"code":4,"msg":66,"data":115},{"doc_id":63,"user_id":116,"nickname":42,"user_avatar":117,"doc_module":4,"category_id":90,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":11,"file_id":118,"file_url":119,"file_type":120,"file_size":121,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":122,"language":123,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":11,"faqs":11,"seo_title":124,"seo_description":12,"update_tm":64,"read_time":91},1099514068035,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","cbCaikypVYEZTFwC","https://ap.wps.com/l/cbCaikypVYEZTFwC","pdf",1297434,16,"English","Hand Examination Medicen Rheumatology System | PDF"]