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23 Cards in this Set
- Front
- Back
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aching and pain in connective tissue and joints
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arthritis
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How does RA impact immune system
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attacks healthy joint tissue leading to inflammation and damage to wrist, PIP, MCP, Elbows, Jaw
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What happens during the acute phase of RA?
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swelling and inflammation
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What happens during the chronic phase of RA?
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articular cartilage thins, joint space narrows, cysts, bone thins, synovium thickens, joint deformity
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Signs of RA?
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Morning stiffness, inflammation of joints, heart, blood vessels, lungs, eyes
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Joint involvement of RA?
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bilateral, crepitus occurs, joint deformities
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Joint Deformities of RA?
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fusiform swelling of PIP, swan neck, boutonniere, trigger finger, thumb, joint laxity, subluxed, dislocated, ulnar drift, loss of ROM
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What is the course of RA?
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unpredictable, may have exacerbations and remissions
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Dx of RA?
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4/7: morning stiffness of 1+ hr., 2+ jt. swollen simultaneously, 1 swollen area in hand, symmetrical, nodules, Serum Rheumatoid factor, radiographic changes
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How is RA treated?
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treatment is usually meant to manage pain
drugs or surgery |
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What is the most common type of arthritis?
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Osteoarthritis
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What is the etiology of osteoarthritis?
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unknown, possibly genetic
caused by wearing of jts |
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What is the pathophysiology of osteoarthritis?
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cartilage softensand wears away, ends of bone thicken, bony growths, floating pieces of bone, fluid filled cysts
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What body parts are affected by osteoarthritis?
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knees, hips, interphalengeal joints, 1st CMC jt, spine
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Symptoms of OA?
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jt tenderness, some crepitus, limited mvmt, pain after use or inactivity, morning stiffness less than 30 min
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What is Heberden's nodes?
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bone growth on DIPs
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What is the course of OA?
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slowly progressive
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How is OA diagnosed?
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x-rays, pain relieved by rest and minimal morning stiffness, lack of systemic findings (i.e. specific jts not organs)
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What is the etiology of Fibromyalgia?
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unknown, possibly: previous trauma to CNS response, infections, lack of or overuse of exercise, hormonal influences
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What is the pathophysiology or FM?
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decrease serotonin, abnormal fx of hyptothalamus-pituitary adrenal axis, elevated levels of CSF neuropeptide that facilitates pain perception, disordered engery metabolism
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What are the symptoms of FM?
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widespread pain in soft tissue (bilateral), fatigue, non-resorative sleep
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Secondary conditions of FM?
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chronic fatigue, IBS, cardiac awareness, headache, numbness, jaw problems, cold intolerance, weakness, mood disorders
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FM is exacerbated by?
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excercise, inactivity, poor sleep, emotional stress, humid weather
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