Gout and Scleroderma LP 6-7

Question 1

what is gout?

Answer 1

inflammatory arthritis caused by abnormally high amounts of uric acid in the blood causing or crystals

Question 2

is gout caused by wear and tear or chemicals?

Answer 2

chemical

Question 3

are men or women more likely to develop gout?

Answer 3

men

Question 4

what is gout commonly caused by?

Answer 4

rich diets and fortified alcohol

Question 5

where is uric acid normally found in the body?

Answer 5

either filtered by the kidneys or absorbed by the GI tract

Question 6

what are some reasons that the body cannot eliminate uric acid?

Answer 6

when the body is exposed to excessive amounts of chemicals
when the kidney itself is compromised

Question 7

what body system is used to transport excessive amounts of uric acid crystals?

Answer 7

blood stream
(its fairly heavy and becomes less soluble in cool areas of the body)

Question 8

where does uric aid tend to diffuse itself?

Answer 8

lower body such as the feet but can also be found in the cartilage of the ear

Question 9

define tophus or tophis

Answer 9

clusters of sodium urate combined with dead cells and enzymes that the body has produced to isolate crystals

Question 10

what’s the most common sites for tophus formation?

Answer 10

olecranon bursa, achilles tendons and forearm extensors

Question 11

what are some risk factors of gout? (besides alcohol or rich foods)

Answer 11

obesity
high blood pressure
diabetes
renel pathologies
heredity

Question 12

what things can trigger gout?

Answer 12

dehydration
surgery
injury to the foot
fatigue
emotional stress
sudden illness etc

Question 13

what is the most common gout attack site?

Answer 13

1 metatarsal joint

Question 14

what are the signs of acute gout?

Answer 14

sudden attack
night pain
pain after exercise
abrupt severe pain
skin tense and shiny
inflammation

Question 15

what are some signs of chronic gout?

Answer 15

last for weeks possibly
polyarticular
tachycardia
fever
chills
malaise
rom limited
bursa

Question 16

what are some complications of gout?

Answer 16

after 10-20 years there is constant signs of acute inflammation and pain
high blood pressure
kidney stones
stroke
renal failure
atherosclerosis

Question 17

what are the CIs to gout?

Answer 17

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

Question 18

how much water should a client with gout drink?

Answer 18

3 L a day

Question 19

what are some things to be cautious of when treating a client with gout between flare ups?

Answer 19

cardiovascular or renal complications
joint degenerations
tophi deposit

Question 20

what is scleroderma?

Answer 20

a disease of connective tissue characterized by thickening of the skin, fascia, tendon sheaths and organs of the body

Question 21

is scleroderma autoimmune?

Answer 21

yes

Question 22

is scleroderma more common in women or men?

Answer 22

women

Question 23

what are the causes of scleroderma?

Answer 23

idiopathic
heredity
environmental

Question 24

what is localized scleroderma effect?

Answer 24

skin, subcutaneous tissue, muscle and sometimes bone

Question 25

does localized scleroderma have visceral or serologic manifestations?

Answer 25

no

Question 26

what areas of the body are impacted by localized scleroderma?

Answer 26

face and limbs

Question 27

what kind of symptoms are common with localized scleroderma?

Answer 27

stunt growth in children white or pink patches collagen deposits mauskopf

Question 28

what is the first symptoms of limited systemic sclerosis?

Answer 28

raynauds phenomenon

Question 29

what are some symptoms of limited systemic sclerosis?

Answer 29

skin edema tightening of the hands, face and feet hypertension organ involvement

Question 30

can autoimmune conditions overlap with limited systemic scleroderma?

Answer 30

yes

Question 31

what does CREST stand for? what kind of scleroderma is it found with?

Answer 31

limited systemic Calcinosis Raynauds phenonmenon esophageal dysmotility sclerodactyly telangiectasia

Question 32

what is diffuse systemic sclerosis?

Answer 32

rapidly progressing generalized scleroderma

Question 33

what systems are frequently involved with diffuse systemic sclerosis?

Answer 33

renal and pulmonary

Question 34

what are some symptoms of diffuse systemic sclerosis?

Answer 34

swollen hands and feet loss of range of motion muscle atrophy or weakness skin lesions raynauds phenomenon inflammation etc

Question 35

how would you treat calcinosis?

Answer 35

cholchine

Question 36

what is scleroderma classified as?

Answer 36

flare up and stabilization