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9 Cards in this Set

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Rheumatoid arthritis is a chronic autoimmune disease of unclear etiology that causes ___________ inflammation with erosion of articular cartilage and bone.
Rheumatoid arthritis is a chronic autoimmune disease of unclear etiology that causes SYNOVIAL inflammation with erosion of articular cartilage and bone.
Worldwide prevalence is 1%, with women developing RA ______ times as frequently as men. It occurs in all age groups, although RA generally increases with age.
Worldwide prevalence is 1%, with women developing RA THREE times as frequently as men. It occurs in all age groups, although RA generally increases with age.
RA is usually a (symmetric or asymmetric) polyarthritis involving characteristic peripheral joints, especially the ___________ and __________ joints.
RA is usually a SYMMETRIC polyarthritis involving characteristic peripheral joints, especially the METACARPOPHALANGEAL (MCP) and METATARSOPHALANGEAL (MTP) joints.

Lumbosacral and distal interphalangeal joints are hardly ever involved.
Stiffness is most severe in the _________ or after periods of inactivity and characteristically last one hour or longer.
Stiffness is most severe in the MORNING or after periods of inactivity and characteristically last one hour or longer.
Constitutional symptoms may precede overt arthritis and include ________ , _________ , and _______ .

________ percent of patients develop extra-articular manifestations.
Constitutional symptoms may precede overt arthritis and include WEIGHT LOSS, LOW-GRADE FEVER, and FATIGUE.

TWENTY percent of patients develop extra-articular manifestations.
What should I look for on the musculoskeletal exam?
Palpate each joint for effusions, synovial swelling, and tenderness. Presence of synovial proliferation gives the joint a boggy consistency and diffuse tenderness.

In comparison, tendonitis and bursitis cause focal pain without boggy synovial swelling.
Check active and passive range of motion (ROM). In _________ only active ROM is painful, whereas joint involvement, both passive and active ROM are painful.
Check active and passive range of motion (ROM). In TENDONITIS only active ROM is painful, whereas joint involvement, both passive and active ROM are painful.

Detailed measurements of ROM are rarely necessary. Describe ROM as: normal; slightly, moderately or markedly limited; or fused.
Rheumatoid _______ may be found at sites of pressure usch as the posterior elbow and over the Achilles tendon.
Rheumatoid NODULES may be found at sites of pressure usch as the posterior elbow and over the Achilles tendon.
Watch for common deformities including ulnar deviation of fingers, subluxation MCP joints, swan neck, boutonniere deformities of the fingers and cock-up deformities of toes.

Asymptomatic flexion contractures (easily noticed in superficial joints such as the elbow) suggest active _____________ .
Asymptomatic flexion contractures (easily noticed in superficial joints such as the elbow) suggest active SYNOVITIS.