Rheumatoid arthritis - ANSWER Multisystem inflammation
Extra articular manifestations
40-60 y/o and females (75%) - ANSWER typical diagnosis age and gender for RA
Typical descriptors of the joint in RA - ANSWER laxity, sublaxation, contractures,
nodules ankylosing
Pannus - ANSWER an abnormal layer of fibrovascular or granulation tissue over joint
tissue, destroys cartilage
Morning stiffness. Painful, stiff, & swollen joints. Limited range of motion of joints. History of
late afternoon temperature, with temperature spiking up to 105° F. Systemic symptoms
include malaise, fatigue, lethargy, anorexia, weight loss, & growth problems. -
ANSWER typical symptoms of RA
NSAIDS
DMARDS
Biologic response modifiers (brms)
Steroids - ANSWER Rheumatoid arthritis drug treatment options
Disease-modifying antirheumatic drugs (dmards) - ANSWER hydroxychloroquine
Levaquin
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,Methotrexate
Minocycline
Sulfasalazine
Osteoarthritis - ANSWER slow progressive loss of articular cartilage
"not inflammatory"
Idiopathic osteoarthritis- old age
Secondary osteoarthritis - from previous damage - ANSWER 2 causes of OA
Cauda Equina Syndrome - ANSWER central disc prolapse compressing nerves cutting
off sensation and movement
Symptoms of cauda equina syndrome - ANSWER Bladder and bowel incontinence,
perineal numbness, bilateral sciatica, lower limb weakness, crossed straight-leg raisin sign
Degenerative spondylolisthesis - ANSWER caused by weakening of joints that allows
for forward slippage of one vertebral segment on one below due to degenerative changes,
most common site is L4/L5, william's flexion exercises may be indicated to strengthen abs
and reduce lumbar lordosis
Herniated disc (slipped disc) - ANSWER
Bulging disc - ANSWER c
Saddle anesthesia - ANSWER loss of sensation restricted to the buttocks, perineum,
and inner thighs
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, Increased risk of falls, risk of depression, activity intolerance , acute/ chronic pain -
ANSWER nursing diagnosis examples of degenerative disc disease
No - ANSWER is osteoarthritis reversible?
PTH increased, vitamin d decreased - ANSWER is PTH and Vit D increased or
decreased usually with OA
OA usually unilateral - ANSWER difference between RA and OA pain
Bouchard's nodes - ANSWER Osteophytes at the proximal interphalangeal joints(PIP)
of hands
Heberden's nodes - ANSWER Swelling of distal interphalangeal finger joints,
characteristic of osteoarthritis
Weight bearing xrays - ANSWER gold standard diagnosis of osteoarthritis
Weight loss, PT, aerobic exercise, TENS unit therapeutic ultrasound, braces, heat ice -
ANSWER nonpharmalogical treatment options of OA
- nsaids
- glucosamine
- viscosupplementation (gel injection)
-PRP (platelet rich plasma) - ANSWER pharmalogical treatment options of OA
Athroscopy - ANSWER Less invasive surgery involving the use of a scope, or camera,
to see what is problem inside joints
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