RA Flashcards
T/F RA is a immune mediated inflammatory disease
true
whats synovitis
hyperplasia
increased vascularity
articular damage caused by panes
what happens when a joint has RA
joint deformity (synovial swollen, cartilage erodes fibrous scar tissue forms, adhesions) bones become osteopenia ligament / tendon damage mm deteriorates
genetic factors associated w RA
family history
monozygotic and dizygotic (identifcal, fraternal) twins
T/F all patients with RA have genetic marker
80%
Rhematoid factor counts for ____ of genetic risk for RA
30%
T/F high RF can be present in people with lupus, syphilis, chronic hepatitis or idiopathic pulmonary fibrosis
T
T/F increased risk of RA after birth
t
environmental factors for RA
smoking, occupation (miners, farmers)
diet
reduced risk of RA with diet?
olive oil consumption
fish >3 times/week
drinking tea >3 day
diagnostic criteria for RA
morning stiffness >1 hr arthritis >3 joints Arthritis of hand joints symmetric arthritis rheamtoid nodules serum RF pos radiographic
how many criteria do you need for meet criteria for RA
4 or more
clinical features of RA
pain, fatigue, stiffness, dec ROM
often small joints, and symmetrical
swelling, deformity, mm atrophy
where are rheumatoid nodules
under skin
elbow, finger, wrist, hip, achilles
T/F rheumatoid nodules effect all
about 30%
