Inflammatory arthritis LP 3-4 Flashcards
what is the chronic disorder causing symmetrical erosive synovitis of the joints?
rheumatoid arthitis
is RA a systemic condition?
yes
is RA considered an autoimmune disorder?
yes
when can someone develop RA?
from infancy to older age
does RA effect women or men more?
women
how many of the seven manifestations do you need to be diagnosed with RA?
4 for 6 weeks
what are the seven presentations of RA?
morning stiffness
arthritis of 3 or more joints
arthritis of the hands
symmetric
rheumatoid nodules
serum rheumatoid factors
radiographic changes
what causes RA?
idiopathic (60% of cases are genetically linked to HLA)
what can cause RA attacks?
emotional or physical trauma and stress
what structures would contain the rheumatiod factors (an antibody)
blood
synovial fluid
synovial membranes
what two finger deformities are common with RA?
swan neck
boutonnieres
what deformity is the muscle contraction with proximal IP joints are hyperextended and distal IP joints are hyper flexed
swans neck
what deformity is from ruptured fo the central slip of the extensor tendons with PIPs hyper flexed and DIPs hyperextended
boutonnieres
what are some signs and symptoms of RA? (name 6)
bilateral
polyarticular
joint stiffness and muscle pain
joint pain lasting 30 mins upon waking up
bakers cyst
swelling anf synovial thickness
bursitis
subluxations (not all examples)
how long should house work be limited too with RA?
20 min intervals with 5-10 min rest in-between
what is a good exercise you can recommend to clients with RA?
swimming
what are some health history questions you can ask a client with RA?
-what joints cause you the most pain?
-current status? (flare up and remission)
-what lifestyle changes did you have to make or cause the most pain?
-presence of hand deformities or baker cyst
what will the joints feel like with RA?
hot and swollen with extreme tenderness
should you perform testing during a flare up?
no
should you work distal or directly on inflamed joints?
no
when should you encourage treatments for OA?
later afternoon or evenings
what is juvenile rheumatoid arthritis?
developed during childhood
what causes juvenile rheumatoid arthritis?
unknown
what are the there types of onset juvenile rheumatoid arthritis?
pauciarticular
polyarticular
still disease
what is pauciarticular onset?
arthritis of four or fewer joints
what is most commonly effected with pauciarticualr onset?
knees
what is polyarticular onset?
arthritis of more then four joints
what is most commonly effected with polyarticular onset?
TMJ
hands and feet
what is stills disease?
systemic onset arthritis
what is the most common onset of juvenile rheumatoid arthritis?
pauciarticular
what the most common medication for juvenile rheumatoid arthritis?
aspirin
what are the symptoms of stills disease?
high, spiking fever and pink rash
how long does it take for stills disease to diminish?
12 months
what areas of the body are affected often with RA?
joints
lungs
eyes
cardiovascular system
how long does it take to hit remission of RA?
10-15 years
how long does it take to be considered disable with RA?
15-20 years
