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Treatments 4 > Gout and Scleroderma LP 6-7 > Flashcards

Gout and Scleroderma LP 6-7 Flashcards

1
Q

what is gout?

A

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

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2
Q

is gout caused by wear and tear or chemicals?

A

chemical

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3
Q

are men or women more likely to develop gout?

A

men

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4
Q

what is gout commonly caused by?

A

rich diets and fortified alcohol

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5
Q

where is uric acid normally found in the body?

A

either filtered by the kidneys or absorbed by the GI tract

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6
Q

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

A

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

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7
Q

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

A

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

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8
Q

where does uric aid tend to diffuse itself?

A

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

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9
Q

define tophus or tophis

A

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

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10
Q

what’s the most common sites for tophus formation?

A

olecranon bursa, achilles tendons and forearm extensors

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11
Q

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

A

obesity
high blood pressure
diabetes
renel pathologies
heredity

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12
Q

what things can trigger gout?

A

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

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13
Q

what is the most common gout attack site?

A

1 metatarsal joint

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14
Q

what are the signs of acute gout?

A

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

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15
Q

what are some signs of chronic gout?

A

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

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16
Q

what are some complications of gout?

A

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

17
Q

what are the CIs to gout?

A

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

18
Q

how much water should a client with gout drink?

A

3 L a day

19
Q

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

A

cardiovascular or renal complications
joint degenerations
tophi deposit

20
Q

what is scleroderma?

A

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

21
Q

is scleroderma autoimmune?

A

yes

22
Q

is scleroderma more common in women or men?

A

women

23
Q

what are the causes of scleroderma?

A

idiopathic
heredity
environmental

24
Q

what is localized scleroderma effect?

A

skin, subcutaneous tissue, muscle and sometimes bone

25
Q

does localized scleroderma have visceral or serologic manifestations?

A

no

26
Q

what areas of the body are impacted by localized scleroderma?

A

face and limbs

27
Q

what kind of symptoms are common with localized scleroderma?

A

stunt growth in children
white or pink patches
collagen deposits
mauskopf

28
Q

what is the first symptoms of limited systemic sclerosis?

A

raynauds phenomenon

29
Q

what are some symptoms of limited systemic sclerosis?

A

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

30
Q

can autoimmune conditions overlap with limited systemic scleroderma?

A

yes

31
Q

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

A

limited systemic
Calcinosis
Raynauds phenonmenon
esophageal dysmotility
sclerodactyly
telangiectasia

32
Q

what is diffuse systemic sclerosis?

A

rapidly progressing generalized scleroderma

33
Q

what systems are frequently involved with diffuse systemic sclerosis?

A

renal and pulmonary

34
Q

what are some symptoms of diffuse systemic sclerosis?

A

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

35
Q

how would you treat calcinosis?

A

cholchine

36
Q

what is scleroderma classified as?

A

flare up and stabilization

Treatments 4 (9 decks)

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