Rheumatoid Arthritis Flashcards
RA risk factors
sex, obesity, age, smoking, genetics
Clinical presentation of RA
swollen joints, joints are sensitive to touch and feel warm, fatigue, affect smaller joints first, symmetrical presentation
Mallet Toe
Flexion of DIP
Hammer Toe
Flexion of PIP
Claw Toe
Flexion of PIP & DIP
Rheumatoid Nodules
25% of patients
not dangerous
firm bumps under skin
RA Hand Characteristics
Joint Swelling
MCP Ulnar deviation
DIP Radial Deviation
Swan Neck Deformity
PIP extension and DIP Flexion
Diagnostic Techniques
Imaging (radiograph, MRI, Ultrasound)
Blood Tests (ESR, C-reactive protein, Anti-CCP)
AIMS 2 SF Remission
CDAI <= 2.8
AIMS 2 SF Low Disease Activity
CDAI > 2.8 and <= 10
AIMS 2 SF Moderate Disease Activity
CDAI > 10 and <= 22
AIMS 2 SF High Disease Activity
CDAI > 22
Non-orthotic intervention (surgical)
synovectomy, tendon repair, joint fusion, total joint replacement
Non-orthotic intervention (Pharmaceuticals)
DMARDs
Biological agents
DMARDS
Disease-modifying Antirheumatic Drugs
Biological Agents
used to target specific inflammatory drugs
NSAIDS
advil, motrin IB, naproxen
Orthotic Intervention
Extra-depth shoes, extra wide shoes, custom shoes, foot orthoses, compression socks
Juvenile Arthritis
occurs in children <16 years
symptoms lasting at least 6 weeks
JA
Idiopathic: not clear why it happens
gender 2/1
Oligoarthritis JIA
most common 50-6-%
mildest presentation
affects: 4 or fewer joints
risk of uveitis
Polyarticular JIA
25% of children with JIA
5 or more joints involved
impacts small and large joints
symmetrical
Systemic JIA
still's disease least common most serious large amount of the body inflammation of internal organs rash
Psoriatic Arthritis JIA
joint pain 1 or more joints psoriasis and arthritis combination 1:1 male to female ratio risk of uveitis
which two JIA have risk of uveitis
Psoriatic and Oligoarthritis
Enthesitis-related JIA
ages 8-15
commonly impacts: small joints, large joints, digestive tract, lower back
Undifferentiated JIA
miscellaneous/umbrella classification
do not align with any previous subtypes
inflammation in one or more joints
Treatment Goals
- slow down or stop inflammation
- relieve symptoms, control pain
- prevent joint function and mobility
- reduce long-term health effects
- Achieve remission
Treatment complications
vision loss and interference with growth
Synovectomy
remove inflammed lining of the joint
risk percentage of developing uveitis in patients with oligoarthritis
20%
how many children diagnosed with JIA are diagnosed with polyarticular
25%
what is the least common form of JIA
systemic (stills)
