History

Presenting features

Symptom profile

OPQRST

OPQRST framework

Associated symptoms

Baseline and prior episodes

Baseline status

Infectious exposure context

Infection context

Inflammatory and crystal context

Inflammatory context

Alarm Features

Immediate escalation triggers

High risk patterns

Vital sign danger thresholds

High risk infection features

Deep hand infection red flags

High risk trauma features

Trauma red flags

Special populations red flags

High risk hosts

Medications

Current and recent medications

Medication inventory

High risk medication classes

Medication risks

Contraindications and interactions

Therapy constraints

Diet

Exposures relevant to hand pain

Dietary and exposure patterns

Nutrition related healing context

Healing modifiers

Review of Systems

Constitutional and infection

Skin and mucosal

Musculoskeletal

Neurologic

Cardiopulmonary and vascular

GU and GI inflammatory clues

Systemic inflammatory clues

Collateral History and Family History

Collateral and reliability

Collateral context

Family history

Household and exposure

Exposure context

Risk Factors

Trauma and occupational

Mechanical risk factors

Infection risks

Thrombosis and ischemia

Vascular risks

Inflammatory and crystal disease

Inflammatory risks

Procedure and device

Iatrogenic risks

Differential Diagnosis

Life threatening

Life threatening causes

Common

Common causes

Less common

Less common causes

Mimics and pitfalls

Past Medical History

Relevant conditions

Comorbidities

Prior episodes and procedures

Prior history elements

Devices and hardware

Hardware and implants

Physical Exam

General and vitals

Inspection

Palpation

Range of motion

Neurovascular

Tendon and ligament function

Focused infection findings

Infection exam

Lab Studies

Basic and inflammatory markers

Baseline labs

Infection and sepsis evaluation

Infection evaluation

Crystal and inflammatory arthritis workup

Crystal and inflammatory evaluation

Special scenarios

Scenario directed tests

Imaging

Scoring Systems

Decision tools and risk stratification

MRI

MRI applications

CT

CT applications

Ultrasound

Ultrasound applications

Special Tests

Bedside maneuvers

Bedside tests

Procedural diagnostics

Procedures as diagnostics

Functional testing

Tendon and ligament integrity tests

ECG

Indications tied to hand pain presentations

ECG indications

High risk patterns

High risk findings

Assessment

Problem representation

Hand pain syndrome summary

Working diagnoses

Working diagnosis options

Severity and risk stratification

Risk level

Diagnostic uncertainty

Uncertainty management

Plan

Approach to critical patient

First 5 minutes

Diagnostic sequencing

Diagnostic plan

Therapeutics

Symptom control and definitive care

Reassessment loop

Disposition

ICU and resuscitation level care

ICU criteria

Inpatient admission

Admission criteria

Observation pathway

Observation criteria

Discharge criteria and follow up

Discharge criteria

Discharge Instructions

Copy discharge instructions

Diagnosis summary

Medications

Activity and protection

Follow up

Return to ED now if

References

Guidelines and key sources

Evidence sources