AH2 EXAM 1: Cary Review: Maryville NURS623 | study guide
fever, rash, facial paralysis, arthritis, chills, headache, fatigue, muscle
lyme disease
and joint aches, and swollen lymph nodes
ELISA most common diagnostic test for lyme disease
immunoblot used to confirm ELISA results
circular rash that may expand overtime and may have bullseye
stage 1: early localized lyme disease
appearance; flu-like symptoms
stage 1 lyme disease treatment doxycycline, cefuroxime, amoxicillin
sxs can range from mild to severe, or not at all; most common are
stage 2: early disseminated lyme flu-like symptoms but worse than in stage one; paralysis or
disease weakness in the face, heart palpitations, blurry vision
azithromycin, doxycycline (not for pregnancy, children <8, or
stage 2 lyme disease treatment nursing women) amoxicillin
cefuroxime
stage 2 lyme disease may occur weeks to months after infection
may start six months or even years after original tick bite if
stage 3: late disseminated lyme
treatment was not started in stage 1 or 2
disease
severe
headaches
arthritis of large
joints heart
arrhythmia
stage 3: late disseminated lyme brain disturbance: memory loss,
disease symptoms insomnia difficulty concentrating
temporary amnesia
difficulty following conversation or
speaking extreme fatigue
numbness/tingling of extermities
temporary paralysis of facial
muscles
, recurrent form of joint inflammation which may include episodes
stage 4: late stage or chronic lyme of severe arthritis symptoms; most common joint affected is the
arthritis knee but may occur in other large or small joints as well
stage 4 lyme disease sxs episodes lasting longer than 6 months of swelling, redness, and fluid buildup
more common in women of childbearing
systemic lupus (inside lupus) age chronic inflammatory disease
affects skin, joints, kidneys, lungs, nervous system, serous membranes
fatigue
joint
aches
myalgi
a
keratoconjunctivitis sicca (eye)
systemic lupus sxs photosensitivity
BUTTERFLY RASH
macular rash
thrombocytopeni
a gastritis
ulcers
just involves skin
discoid lupus (outside lupus) characterized as production of antinuclear antibodies
*refer these patients to rheumatology
ana + titer (1:160 or higher)
discoid lupus diagnostics
*refer these patients to rheumatology
patches on skin
discoid lupus sxs
*refer these patients to rheumatology
More women than men get rheumatoid arthritis. It often starts in
middle age and is most common in older people. A patient might
have the disease for only a short time, or symptoms might come
and go. The severe form can last a lifetime.
RA
RA can affect body parts besides joints, such as eyes, mouth and
lungs. RA is an autoimmune disease, which means the arthritis
results from the immune system attacking the body's own
tissues.
No one knows what causes rheumatoid arthritis. Genes,
RA causes
environment, and hormones might contribute.
Treatments include medicine, lifestyle changes, and surgery.
RA treatment
These can slow or stop joint damage and reduce pain and
fever, rash, facial paralysis, arthritis, chills, headache, fatigue, muscle
lyme disease
and joint aches, and swollen lymph nodes
ELISA most common diagnostic test for lyme disease
immunoblot used to confirm ELISA results
circular rash that may expand overtime and may have bullseye
stage 1: early localized lyme disease
appearance; flu-like symptoms
stage 1 lyme disease treatment doxycycline, cefuroxime, amoxicillin
sxs can range from mild to severe, or not at all; most common are
stage 2: early disseminated lyme flu-like symptoms but worse than in stage one; paralysis or
disease weakness in the face, heart palpitations, blurry vision
azithromycin, doxycycline (not for pregnancy, children <8, or
stage 2 lyme disease treatment nursing women) amoxicillin
cefuroxime
stage 2 lyme disease may occur weeks to months after infection
may start six months or even years after original tick bite if
stage 3: late disseminated lyme
treatment was not started in stage 1 or 2
disease
severe
headaches
arthritis of large
joints heart
arrhythmia
stage 3: late disseminated lyme brain disturbance: memory loss,
disease symptoms insomnia difficulty concentrating
temporary amnesia
difficulty following conversation or
speaking extreme fatigue
numbness/tingling of extermities
temporary paralysis of facial
muscles
, recurrent form of joint inflammation which may include episodes
stage 4: late stage or chronic lyme of severe arthritis symptoms; most common joint affected is the
arthritis knee but may occur in other large or small joints as well
stage 4 lyme disease sxs episodes lasting longer than 6 months of swelling, redness, and fluid buildup
more common in women of childbearing
systemic lupus (inside lupus) age chronic inflammatory disease
affects skin, joints, kidneys, lungs, nervous system, serous membranes
fatigue
joint
aches
myalgi
a
keratoconjunctivitis sicca (eye)
systemic lupus sxs photosensitivity
BUTTERFLY RASH
macular rash
thrombocytopeni
a gastritis
ulcers
just involves skin
discoid lupus (outside lupus) characterized as production of antinuclear antibodies
*refer these patients to rheumatology
ana + titer (1:160 or higher)
discoid lupus diagnostics
*refer these patients to rheumatology
patches on skin
discoid lupus sxs
*refer these patients to rheumatology
More women than men get rheumatoid arthritis. It often starts in
middle age and is most common in older people. A patient might
have the disease for only a short time, or symptoms might come
and go. The severe form can last a lifetime.
RA
RA can affect body parts besides joints, such as eyes, mouth and
lungs. RA is an autoimmune disease, which means the arthritis
results from the immune system attacking the body's own
tissues.
No one knows what causes rheumatoid arthritis. Genes,
RA causes
environment, and hormones might contribute.
Treatments include medicine, lifestyle changes, and surgery.
RA treatment
These can slow or stop joint damage and reduce pain and
