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Results
What does the XRay show? (source: Dr. Dai Roberts, radiopedia.org, click on picture to navigate to page)
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Normal X-rays. As patient is very early in her disease, there are no changes yet that we would associated with damage from RA. We want to treat her ASAP and achieve remission to prevent any radiographic changes or physical deformities from ever occurring.
Now look at this X-ray from a patient with long-standing, undertreated RA. What do you see? (source: Dr. Dai Roberts, radiopedia.org, click on picture to navigate to page)
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There is soft tissue swelling, periarticular osteopenia, joint space narrowing, erosions (ulnar styloids, multiple carpal bones, MCPs, PIPs), and ulnar deviation.
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Case 4 Index
Case 4 Introduction
Case 4 Review of Systems
Case 4 Physical Exam
Case 4 Differential Diagnoses
Case 4 Diagnostic testing