Week 3 Flashcards

1
Q

What can dysautonomia affect?

A

The whole body

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2
Q

Who does postural Orthostatic tachycardia syndrome (POTS) effect?

A

Women more than men

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3
Q

How is POTS described in adolescents aged 12-19?

A

HR increases > 40 bpm or sustained HR > 120 bpm when standing up

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4
Q

How is POTS described in adults older than 19?

A

HR increases > 30 bpm or sustained HR > 120 bpm after standing up

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5
Q

What are some ways to help treat POTS that doesn’t involve drugs?

A

Build plasma blood volume (hydration and compression stockings)

Exercise training

Biofeedback

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6
Q

What is primary immunodeficiency disease?

A

When part of the immune system is not functioning properly or is missing

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7
Q

What is primary immunodeficiency disease caused by?

A

Hereditary or birth defects

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8
Q

What is an autoimmune disease?

A

Overactive immune system produces antibodies and attacks body tissues

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9
Q

What may many autoimmune diseases contribute to?

A

Dysfunction of the autonomic nervous system

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10
Q

What are some triggers for mast cell activation syndrome?

A

Regular allergens (grass, fragrances, soap)

Histamine rich foods (food dyes)

Fabrics

Exercise

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11
Q

What do you have to do to get a diagnosis of MCAS?

A

Sample must be taken 30 minutes to 2 hours after onset of episode

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12
Q

What are the ways to test for MCAS?

A

Serum tryptase

24 hour urine collection

Bone marrow and GI staining (very specific)

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13
Q

What is the Beighton scale used to measure?

A

Hyper mobility

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14
Q

What is a disease where someone is hyper mobile?

A

Ehlers danlos syndrome

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15
Q

Watch HIV/AIDS video before quiz

A
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16
Q

What is rheumatoid arthritis?

A

Chronic, systemic, inflammatory disorder of unknown cause

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17
Q

Which population is most likely to get RA?

A

Women (20-40 y/o)

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18
Q

What are early signs of RA?

A

Malaise, fatigue, and MSK pain

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19
Q

What are outcome measures used for RA?

A

Rheumatoid arthritis pain scale (RAPS)

Arthritis impact measurement scales (AIMS)

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20
Q

What are key exam findings of RA?

A

Swollen joints, morning stiffness >45 minutes, and joint pain

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21
Q

What is juvenile idiopathic arthritis?

A

Chronic inflammatory disorder in childhood (all presentations share synovitis)

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22
Q

What are key exam findings of juvenile idiopathic arthritis?

A

Arthritis in one joint for at least 6 weeks in those <16 y/o

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23
Q

What is key when it comes to juvenile idiopathic arthritis?

A

Early recognition

24
Q

Who is affected by reactive arthritis?

A

Men age 20-40

25
When does reactive arthritis begin?
2-4 weeks after venereal infection or bout of gastroenteritis
26
What does reactive arthritis frequently affect?
Knees and ankles (weight bearing joints)
27
What are symptoms of reactive arthritis?
Joints are warm, tender, edematous, and painful Frequent urination Red itching eyes Fatigue
28
What population is most common to get psoriatic arthritis?
Occurs in 1/3 clients with psoriasis (ages 20-30 most common)
29
What does psoriatic arthritis combine?
Features of RA and spondyloarthropathy
30
How does arthritis appear in psoriatic arthritis?
Early and severe in a symmetrical distal distribution
31
What can reactive arthritis progress to?
Sepsis
32
Who is at risk for polymyalgia rheumatica?
Whites older than 55 years old
33
What is the clinical presentation of polymyalgia rheumatica?
Aching and stiffness in muscles Shoulder girdle pain and stiffness
34
Who is most affected by systemic lupus erythematosus?
African-American, Latino, and Asian women (age 15-45)
35
What can be done to help with systemic lupus erythematosus?
Avoid sunlight and smoking Stress management Prolonged sleep (12 hours) Regular exercise
36
What are some signs of systemic lupus erythematosus?
Skin rashes Fatigue Sensitivity to the sun
37
What happens to the skin with dermatomyositis?
Pink cheeks Purple hue on eyelids Red skin rashes
38
What happens to the muscles with dermatomyositis?
Inflammation, weakness, and achiness
39
Who is more common to have the localized form of scleroderma?
Children
40
Who is more common to have the systemic form of scleroderma?
Adults
41
What is the population that most suffers from scleroderma?
Women aged 25-55
42
What are key findings of scleroderma?
Hardening of the skin and affects different body parts
43
What does psoriatic disorder do to skin cells?
Speeds up their life cycle
44
What are signs of psoriatic disorder?
Red patches of skin covered with thick, silvery scales Dry cracked skin Itching or burning Thickened or ridged nails Swollen or stiff joints
45
Where can you palpate lymph nodes?
Head and neck Axilla Trochlear Inguinal
46
How many lymph nodes are located in the head/neck?
1/3
47
What does a tender lymph node mean?
Infection
48
What does a non tender lymph node mean?
Malignancy
49
What does a soft lymph node indicate?
Infection
50
What does a hard lymph node indicate?
Malignancy
51
What population is often diagnosed with fibromyalgia?
Women 20-55 y/o
52
What is definition of fibromyalgia?
Syndrome of central sensitivity
53
What are the hallmark symptoms for fibromyalgia?
Tender points (3 to 6 different areas)
54
Where are the fibromyalgia tender points?
Low cervical 2nd rib Lateral epicondyle Knees Occiput Traps Supraspinatus Glutes Greater trochanter
55
What is Myofascial pain syndrome?
The development of a trigger point