Term
|
Definition
| Noninflammatory, don't know why it starts, chronic and progressive or from an injury, hard like sandpaper, makes for hardful movements |
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Term
| Who suffers from osteoarthritis |
|
Definition
| Men under 50, Women over 50, athletes, obese |
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Term
| Osteoarthritis Systemic Symptoms |
|
Definition
|
|
Term
| Osteoarthritis Signs and Symptoms |
|
Definition
| Pain in joint, worse in the morning that goes away in 30 minutes, worsens when barometric pressure drops, crepitis, asymmetric |
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Term
|
Definition
| Heberden's Nodules, Buchards, knee maybe bowlegged |
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|
Term
| DX studies for Osteoarthritis |
|
Definition
|
|
Term
|
Definition
| Encourage frequent movements, heat more common in chronic, acute use ice, ideal weights, aerobic condition and muscle strengthing, acupuncture, Ben Gay, Magnets, OTC |
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|
Term
| Drug Therapy for Osteoarthritis |
|
Definition
| Acetaminophen, Topicals (Zostrix), NSAIDS taken with cytotec to protect stomach, Cox 2 inhibitor (Celebrex), Antibiotics (Doxycycline)-if others don't work, can also try corticosteriod injections for pain relief |
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Term
|
Definition
| Chronic, systemic autoimmune disease, characterized by inflammation of connective tissue in synovial joints, remissions and exacerbations |
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Term
|
Definition
Complement->Inflammation->Neutrophil response->articular cartilage damage->further inflammatory response and damage
Trends in families, but not known how it is passed |
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|
Term
| Clinical Manifestations of RA in Joints |
|
Definition
| Pain stiffness, w/inflammed, swollen, tender joints, symptoms are symmertrically commonly effects hands, elbows, shoulders |
|
|
Term
| Clinical Manifestations of RA Extra-Articular Manifestations |
|
Definition
| Systemic Rheumatoid nodules (Sub Q) firm, nontender masses can progress or get infective, if they spread to the lungs the prognosis is poor, Sjorgren syndrome dec tearing and saliva lead to itchy, burning eyes |
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Term
|
Definition
| Slow progression, dec weight, morning stiffness that lasts hours, deformity of thumb, swan neck deformity of fingers |
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Term
|
Definition
| W/O TX systems are progressive and terminal, by the time of pulmonary effects, it is far progressed |
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Term
|
Definition
| RF, ESR, ANA, CRP, Inc WBC in synovial fluid, MRI at beginning would be negative |
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Term
|
Definition
|
|
Term
|
Definition
1. Methotrexate, 2. TNF
No live vaccines, No heart failure patients on TNF, Antimalarial |
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Term
|
Definition
| No special diet, but balanced nutrition, hand pain, meals on wheels, because of corticosteriods that are high in gluocose, the body redistributes fat, patients may want to diet, which is wrong thing to do |
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Term
|
Definition
|
|
Term
|
Definition
| Braces to protect joints, good body alignment, alternate activity and rest, hot and cold therapy, exaberations, gentle ROM, keep independent as long as possible, promote positive self image |
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Term
|
Definition
| Chronic inflammatory disease of the joints, vertebrae, ribs, hips |
|
|
Term
| DX Studies of Ankylosing Spondylitis |
|
Definition
|
|
Term
| TX of Ankylosing Spondylitis |
|
Definition
| NSAIDS, DMARDS, trying to suppress inflammation exercise is essential, worse at night and first thing in the morning, altered vision, heart and pulmonary issues, surgery can help |
|
|
Term
|
Definition
| Reiter's Syndrome, Most commonly from Chlamydia infection, Commonly affects large joints of lower extremities, lesions on the foot |
|
|
Term
|
Definition
| Doxycycline for 3 months for Chlamydia, Recovery is in 2 to 16 weeks, Only 50% get full joint recovery |
|
|
Term
|
Definition
| Infected, immobilized joint, Staph infection causes, Gonnerhea |
|
|
Term
|
Definition
| Aspirate joint, culture synovial fluid |
|
|
Term
| When should TX be started in Septic Arthritis |
|
Definition
| Before the Test even get back, if does not clear have surgery to drain fluid out |
|
|
Term
|
Definition
| Transmitted from ticks to humans, not human to human |
|
|
Term
| Signs and Symptoms of Lyme Disease |
|
Definition
| Rash at site, 2-3 days afterwards, bullseye, chills, achy, fever, stiffness, 1 week to 1 month after bite, a late major sign is neurological issues |
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|
Term
|
Definition
|
|
Term
|
Definition
| Doxycycline, Cefuroxime, Amoxicillen, teach prevention |
|
|
Term
|
Definition
| Increase in uric acid production, decreased excretion, increase intake of purine rich foods |
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Term
|
Definition
|
|
Term
|
Definition
| Drugs or SE from another disorder |
|
|
Term
| Signs and Symptoms of Gout |
|
Definition
| Great toe pain, swollen, red, tender, onset at night, horrid pain |
|
|
Term
|
Definition
| Serum uric acid level > 6, 24 hour urine for uric acid |
|
|
Term
|
Definition
| Combine Colchicine an NSAIDS, long term use Allopurinol and Benemid |
|
|
Term
|
Definition
| Shellfish, asparagus, spinach, meats are high in purine, avoid ETOH, increase fluids 2 to 3 liters, weight loss, foot cradle |
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|
Term
|
Definition
| Autoimmune, exacerbations and remissions, hormone related |
|
|
Term
|
Definition
| Women of child bearing age |
|
|
Term
| Clinical Manifestations of Lupus |
|
Definition
| Butterfly rash on face, alopecia, rash on skin when exposed to sun, stiffness, cardio/pulmonary fibrosis, arrhympias, renal failure is common, neuropathy, decrease in RBC, WBC, PLT, Cytopenia |
|
|
Term
|
Definition
| Avoid progression and avoid renal failure |
|
|
Term
|
Definition
| ESR, ANA, CBC, CRP, ANTI SMITH |
|
|
Term
|
Definition
| NSAIDS, Corticosteriods for exacerbations, Methotrexate, Immunosuppressants (Imuran/Cytoxan) |
|
|
Term
|
Definition
| Council against pregnancy, decent prognosis, avoid sunlight, plan activity around rest, and maintain good nutrition |
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