Gout and Scleroderma LP 6-7 Flashcards
what is gout?
inflammatory arthritis caused by abnormally high amounts of uric acid in the blood causing or crystals
is gout caused by wear and tear or chemicals?
chemical
are men or women more likely to develop gout?
men
what is gout commonly caused by?
rich diets and fortified alcohol
where is uric acid normally found in the body?
either filtered by the kidneys or absorbed by the GI tract
what are some reasons that the body cannot eliminate uric acid?
when the body is exposed to excessive amounts of chemicals
when the kidney itself is compromised
what body system is used to transport excessive amounts of uric acid crystals?
blood stream
(its fairly heavy and becomes less soluble in cool areas of the body)
where does uric aid tend to diffuse itself?
lower body such as the feet but can also be found in the cartilage of the ear
define tophus or tophis
clusters of sodium urate combined with dead cells and enzymes that the body has produced to isolate crystals
what’s the most common sites for tophus formation?
olecranon bursa, achilles tendons and forearm extensors
what are some risk factors of gout? (besides alcohol or rich foods)
obesity
high blood pressure
diabetes
renel pathologies
heredity
what things can trigger gout?
dehydration
surgery
injury to the foot
fatigue
emotional stress
sudden illness etc
what is the most common gout attack site?
1 metatarsal joint
what are the signs of acute gout?
sudden attack
night pain
pain after exercise
abrupt severe pain
skin tense and shiny
inflammation
what are some signs of chronic gout?
last for weeks possibly
polyarticular
tachycardia
fever
chills
malaise
rom limited
bursa
what are some complications of gout?
after 10-20 years there is constant signs of acute inflammation and pain
high blood pressure
kidney stones
stroke
renal failure
atherosclerosis
what are the CIs to gout?
avoid hitting the foot
do not drape foot
no heavy hydro
allow the foot to drop but don’t bump it
no heavy treating the foot effected
how much water should a client with gout drink?
3 L a day
what are some things to be cautious of when treating a client with gout between flare ups?
cardiovascular or renal complications
joint degenerations
tophi deposit
what is scleroderma?
a disease of connective tissue characterized by thickening of the skin, fascia, tendon sheaths and organs of the body
is scleroderma autoimmune?
yes
is scleroderma more common in women or men?
women
what are the causes of scleroderma?
idiopathic
heredity
environmental
what is localized scleroderma effect?
skin, subcutaneous tissue, muscle and sometimes bone
does localized scleroderma have visceral or serologic manifestations?
no
what areas of the body are impacted by localized scleroderma?
face and limbs
what kind of symptoms are common with localized scleroderma?
stunt growth in children
white or pink patches
collagen deposits
mauskopf
what is the first symptoms of limited systemic sclerosis?
raynauds phenomenon
what are some symptoms of limited systemic sclerosis?
skin edema
tightening of the hands, face and feet
hypertension
organ involvement
can autoimmune conditions overlap with limited systemic scleroderma?
yes
what does CREST stand for?
what kind of scleroderma is it found with?
limited systemic
Calcinosis
Raynauds phenonmenon
esophageal dysmotility
sclerodactyly
telangiectasia
what is diffuse systemic sclerosis?
rapidly progressing generalized scleroderma
what systems are frequently involved with diffuse systemic sclerosis?
renal and pulmonary
what are some symptoms of diffuse systemic sclerosis?
swollen hands and feet
loss of range of motion
muscle atrophy or weakness
skin lesions
raynauds phenomenon
inflammation etc
how would you treat calcinosis?
cholchine
what is scleroderma classified as?
flare up and stabilization
