Rheumatology Hand Examination Form
Document key findings from a rheumatology hand examination using this streamlined form.
Patient Name
*
First Name
Last Name
Date of Examination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hand Examined
*
Left
Right
Both
Swelling (select all that apply)
None
MCP joints
PIP joints
DIP joints
Wrist
Other
Tenderness (select all that apply)
None
MCP joints
PIP joints
DIP joints
Wrist
Other
Deformities Observed
None
Ulnar deviation
Boutonnière deformity
Swan neck deformity
Z-thumb
Other
Range of Motion
Full
Reduced
Grip Strength
Normal
Reduced
Additional Notes
Examiner Name
First Name
Last Name
Submit Examination
Should be Empty: