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%
why secondary raynauds in RA
vasospasm in capilaries
caps narrow, limiting blood supply
management for RA
medications
rehab
lifestyle
surgery
medication for RA
traditional DMARD biologic DMARD NSAID Tylenol Corticosteroid
first line of treatment for RA
DMARD
methotrexate
t/F failure it use DMARD is associated with premature death
t
DMARD should be used __ and consistently to prevent ___ joint damage
early
irreversible
goals of rehab in acute phase RA
control/ decrease inflammation
control pain
balance rest and activity
ice, splints
DO NOT STRETCH INFLAMMATED JOINT
Should you stretch an inflamed joint
no
goals rehab chronic phase RA
education (supports, Mary pack centre, energy conservation) improve pain and stiffness fall prevention increase function prevent deformity avoid mm imbalance
