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5 Cards in this Set

  • Front
  • Back
Onset can be Insidious(weeks to months)
acute ( over few days)
Intermediate(days to weeks) (more systemic complaints)
Types Of RA
self limiting type
persistant type
progressive type with evidence of radiological damage,functional decline
and premature morbidity
Other associated clinical features
lateral/medial epicondylitis
bursitis
Raynauds vasospasm of digits(cold/stress)
pharyngeal/laryngeal muscle spasms(dysphagia)
TMJ dysfunction
Associated complications
joint subluxations
joint sepsis
joint deformities
cardiopulmonary compromise
poor chest excursion ,
decreased lung capacities
pleural effusion
diffuse vasculitis
scleritis
neuropathy(peripheral)
renal complications
Wrist and Hand deformities
Swan -neck deformity (PIP hyper extn,flexn of DIP)
Boutonnier deformity(Flexn of PIP, Hyperextn of IP)
Dequervains thumb extensor synovitis
Tunnel syndromes
carpal tunnel syndrome
tarsal tunnel syndrome
Xray of RA hand
soft tissue swelling
sausage fingers
late stage- Bony erosions/eburnatons
surface resorption
RA patients maintained on steroids at risk for compression wedge fractures of the vertebrae
Common deficits of OA /RA
increased pain
decreased ROM
decreased strength
decreased joint stability
decreased endurance
fall risk
contracture and deformity
decline in function
disability
Decline in ambulation
Decline in self care
decline in ADL's
Increased Dependancy