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15 Cards in this Set

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STANDARD RADIOGRAPHY
SEES BONE DENSITY,ALIGNMENT,SWELLING AND INTACTNESS, SIZE OF JOINT SPACE, SMOOTHNESS OF SYNOVIAL SWELLING
MYELOGRAPHY
CT AND MRI
INJECTION OF CONTRAST MEDIUM, OR DYE INTO SUBARACHNOID SPACE OF THE SPINE
ARTHROGRAPHY
STUDY AFTER AIR OR CONTRAST INJECTED. ASK PT IF THEY ARE ALLERGIC TO SHELLFISH OR IODINE. JOINT MAY BE SWOLLEN FOR SEVERAL DAYS AFTER THE TEST; NO STRENUOUS ACTIVITY FOR 24 HOURS AFTER THE TEST
ARTHROSCOPY
ALLOWS DIRECT VISUALIZATION OF A JOINT. BONE NEEDLE IS INSERTED AND JOINT IS DISTENDED WITH SALINE. FOR JOINT PAIN OR LIMITED ROM.
INTERVENTIONS FOR ARTHROSCOPY
1. CONSENT SIGNED SO IF THE DR. FINDS MORE WRONG HE CAN FIX IT.
2. AFTER PROCEDURE COVER WOUND WITH A COMPRESSION DRESSING TO CONTROL SWELLING.
3. MONITOR NEUROVSCULAR FUNCTION.
4.KEEP JOINT EXTENDED AND ELEVTE TO REDUCE SWELLING. 5.GIVE ANALGESICS.
BONE SCAN
INTERVENTIONS
1. NO RESTRICTED ACTIVITY FOR THE PT.
2. ENCOURAGE PT TO DRINK PLENTY OF FLUIDS AFTER THE PROCEDURE.
RHEUMATOID ARTHRITIS (RA)
PATHO
ONSET SYNOVITIS, OR INFLAMMATION OF THE SYNOVIAL TISSUE IN JOINTS. SYNOVIUM THICKENS, FLUID ACCUMALATES IN JOINT SPACE, AND A PANNUS FORMS. THE PANNUS DESTROYS CARTIALAGE AND ERODES BONE.
RESULTS: LOSS OF CARTIALAGE AND BONE.
RA CLINICAL MANISFESTATIONS
CLASSIC SYMPTOMS
JOINT PAIN
SWELLING
WARMTH
ERYTHEMA
LACK OF FUNCTION
RA EARLY JOINT INVOLVEMENT.
HANDS
WRIST
FEET
RA LATER JOINT INVOLVEMENT
HIPS
ELBOWS
ANKLES
CERVICAL SPINE
RA RAYNAUDS PHENOMENON
DISCOLORATION OF THE FINGERS AND TOES, 1 OR 2, AGGRAVATED BY COLD TEMP. AND CIGARRETTE SMOKING DUE TO VASOCONSTRICTION
DIAGNOSTIC TEST FOR RA
ELEVATED ESR (ERYTHROCYTE SEDIMENTATION RATE)
POSITICE C REACTIVE PROTEIN
POSITIVE RHEUMATOID FACTOR (50% TO 90%) CASES PRESENT IN THE BLOOD
NARROWING OF JOINT SPACE SHOWN ON XRAY
TREATMENT FOR RA
MEDICATIONS TO RELIEVE PAIN, CONTROL INFLAMMATION, AND PREVENT BONE EROSION.
RA
NSIADS, COX-2 INHIBITORS
LESS GI DISTURBANCES
BOTH HAVE POTENTIAL FOR RENAL TOXICITY
RA
CORTICOSTEROIDS
ANTI-INFLAMMATORY
CAUSE HYPER GLYCEMIA