Onset of disease | Physical examination of internal organs | Told the patient he/she probably has psoriasis |
Course of symptoms during the day | Inspection of hands | Told the patient he/she probably has psoriatic arthritis |
Course of symptoms since onset | Inspection of feet | Told the patient he/she has osteoarthritis |
Red or swollen joints | Palpation of hands, wrists | Explained the disorder psoriatic arthritis |
Complaints in other joints | Palpation of ankles | Explained the disorder psoriasis |
Squamous scalp skin | Palpation of feet | Prescribed drugs |
Presence of psoriasis | Palpation of finger joints | If yes, what kind of drugs? |
Presence of psoriasis in relatives | Tangential pressure on hands and asking for pain | Referral to dermatologist |
Discoloration of hands and feet when using cold water | Active flexion of wrists | Ordered laboratory tests |
Morning stiffness | Active extension of wrists | Ordered imaging tests |
Presence of nail pits | Active abduction of forearm | Requested SP attended for follow up |
Low back pain | Active adduction of forearm | Gave written information about the disease |
Eye inflammation | Active flexion of fingers | Sufficiently discussed the prognosis of the disease |
Intestinal complaints | Active extension of fingers | Drew attention to the society of patients with rheumatic diseases and mutual support groups |
Oral ulceration | Spreading of fingers | |
Current drug use | Active fist making | |
Dietary habits | Passive examination of hands and wrists | |
Alcoholic consumption | Muscle resistance tests of hands and wrists | |
Aggravating factors | Squeeze doctor's fingers | |
Ameliorating factors | Opposing thumb to fingers | |
Influence of complaints on daily activities | Examination of other joints | |
Family history | Inspection for skin abnormalities | |
| Inspection for tofi | |
| Inspection for psoriasis on specific locations | |
| Scalp | |
| Elbows | |
| Umbilicus | |
| Anal cleft | |
| Knee | |
| Inspection for noduli | |