Scleroerma Flashcards

1
Q

What are the two forms of scleroderma

A

localized (just affects skin)

systemic (can affect skin, jts, blood vessels, internal organs)

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2
Q

Who is scleroderma more common in

A

Women

African americans

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3
Q

What might scleroderma be associated with

A

occupational exposure to silica dust or polyvinyl chloride and meds

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4
Q

What is the etiology

A

unknown cause
certain cells produce too much collagen and is deposited in skin and internal organs
abnormal immune and inflammatory activity
not inherited
hormones

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5
Q

What is scleroderma

A

means hard skin
connective tissue disorder
stiffness and thickening of the skin

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6
Q

clinical manifestations of scleroderma

A
Raynauds 
Edema 
skin changes
Sclerodactyly 
Telangiectasia 
Arthritis and muscle weakness
Digestive problems
Heart,lung, and kidney problems
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7
Q

What is raynauds

A

blood flow decreases in response to cold temp or stress

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8
Q

Where does raynauds occur mostly

A

fingers

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9
Q

What does the skin do in raynauds

A

changes from white to blue to red

goes back to normal once skin warms

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10
Q

when does edema occur

A

morning

warm weather

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11
Q

Characteristics of edema

A

swollen toes and fingers
skin appears shiny
skin creases disappear
difficulty making a fist

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12
Q

What skin changes occur in sleroderma

A

Hardening and thinking of skin
loss of hair over the affected area
changes in skin color

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13
Q

What is sclerodactyly

A

hardness of the fingers

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14
Q

What does sclerodactyly cause

A

difficult with finger flexion and extension

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15
Q

What is telangiectasia

A

blood vessels become dilated and show through the skin

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16
Q

What is telangiectasia characterized by

A

small reddish spots

17
Q

Where do you see telangiectasia

A

on fingers, palms, face, lips, tongue

18
Q

What occurs in digestion

A
damage to the esophagus and intestines due to associated acid reflux 
heartburn
difficult swallowing
bloating 
nausea
19
Q

What problems occur with the heart

A

irregular heart rhythms

heart failure

20
Q

what problems occur with the lungs

A

fibrosis SOB
persistent cough
chest pain

21
Q

problems with kidneys

A

kidney failure from severe hgh bp

22
Q

Tx for scleroderma

A

Meds
stretching exercises
jt and skin protection

23
Q

What OTs can do

A

jt and skin protection
edu on pain relief and
energy conservation

24
Q

What to avoid in scleroderma

A

cold temp

strong detergents

25
Q

Prognosis

A

favorable for just skin

faal for systemic