Ch. 44 Disorders of Musculoskeletal Function: Rheumatic Disorders Flashcards
What systemic inflammatory disease attacks the lining of the joints?
RA
RA affects males or females more?
Females
Can RA last a lifetime?
Yes
Can RA have remission?
Yes
What are the most common symptoms of RA?
- Swelling
- Pain
- Deformity
In which disease do WBCs attack the synovium?
RA
The causes of RA are unknown but what may be a possible predisposition?
Genetics
The joint loses shape and becomes destroyed in what disease?
RA
RA is systemic but also localized to what?
The joint.
What are joint manifestations of RA?
- Pain
- Stiffness
- Decreased ROM
What is one of the most common joints affected by RA?
Knee
What are the extra-articular (other than the joint) manifestations of RA?
- Fatigue
- Weakness
- Anorexia/ weight loss
- low-grade fever
- elevated ESR
- anemia
What is the ultimate treatment goal of RA?
decrease pain, stiffness, swelling, and increase mobility
A client is in acute phase of RA. Which of the following should the nurse identify as lowest priority in the plan of care?
Maintaining usual ways of accomplishing tasks
Osteoarthritis (OA) is what type of disease?
Degenerative Joint Disease (DJD)
What is the most common form of arthritis?
OA
The cause of primary OA is what?
unknown
What is the secondary cause of OA?
- Aging
- Obesity
- Repetitive Use
OA can affect any joint but primarily affects which joints?
- Hands
- Knees
- Hip
- Spine
Inflammation caused when cartilage attempts to repair itself in OA causes what?
Osteophytes (bone spurs)
What are the manifestations of OA?
- Pain that progressively worsens
- Crepitus and grinding
- Decreased ROM
Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with OA?
Local joint pain
What is the name for crystal-induced arthropathies?
Gout
Gout is caused by what?
Uric acid stones (essentially build up of waste products which move to the joint)
Gout affects who primarily?
Men 40-60 y/o
What increased lab values will there be if someone has gout?
Serum uric acid levels
Cellulitis and Gout present similarly, what is the determining observable factor?
Cellulitis would have a wound
What are the manifestations of gout precipitated by:
- exercise
- medications
- foods
- alcohol
To diagnose gout would the patient have hyperuricemia?
YES
How do you treat gout?
- Diet changes to decrease uric acid consumption
- Increase fluids to rid uric acid
- NSAIDs for pain
- Allopurinol/colchicine to decrease production of uric acid
What foods high uric acid should individuals with gout avoid?
- organ meets
- wines
- aged cheese
- saukeraut
What is the name of the chronic inflammatory disease which can affect every organ system in the body?
Systemic Lupus Erythematous (SLE)
Is SLE an autoimmune disease?
YES
Is the cause of SLE unknown?
YES
What disease causes the formation of auto antibodies and immune complexes which in turns damaged the tissues? This is called what?
- SLE
- B-cell hyperactivity
What are the manifestations of lupus?
- Fever
- Fatigue
- “Butterfly” rash
- sun sensitivity
- joint pain/swelling
- swollen glands
- muscle aches
- pleurisy (causes chest pain)
- Pleural effusion
- Seizures
- Psychosis
What disease causes “hard skin”?
Systemic Sclerosis Scleroderma
Is systemic sclerosis scleroderma a rare, progressive, autoimmune disease?
YES
