WRITTEN FINAL Flashcards

1
Q

inflammatory arthritides

A

group of inflammatory diseases affecting CT including joints

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2
Q

ankylosing spondylitis

A

chronic, systemic inflammatory disorder that involves specific areas of the body, primarily the spine
= “bamboo spine”

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3
Q

where does ankylosing spondylitis begin

A

disease begins with symptoms at SI joints & over many years, proceeds gradually up the spine
-fused into flexion

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4
Q

gout

A

group of disorders in which crystals of monosodium urate are deposited in tissues, accompanied by attacks of acute arthritis
= “tophi” (chronic)

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5
Q

causes of gout

A

-can be inherited
-attacks can be from excessive alcohol consumption, obesity, certain foods & meds, trauma, surgery, “crash” diets

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6
Q

infectious arthritis

A

joint inflammation resulting from infection by bacteria, viruses or fungi
-usually involves 1 joint

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7
Q

HYDRO - arthritis

A

during flare-up = COLD

between flare-up = HEAT

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8
Q

lyme disease

A

complex rheumatic disease that affects many systems of the body
-transmitted by ticks
-ring shaped rash
= curable

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9
Q

reiter’s syndrome

A

triad of arthritis:
-non-gonococcal urethritis (infection of urethra)
-conjunctivitis (pink eye)
-following inflammation of intestine or urinary tract

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10
Q

rheumatoid arthritis

A

inflammatory, destructive, chronic autoimmune disease of multiple joints & CT throughout the body

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11
Q

rheumatoid arthritis - joint deformities

A

-swan neck: due to intrinsic hand mm contracture (PIP joint hyperextended, DIP joint flexed)

-boutonniere (buttonhole): from ruptures of central slip of extensor tendons (PIP joint flexed, DIP joint hyperextended)

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12
Q

scleroderma

A

systemic disorder affecting collagen, characterized by slowly spreading fibrosis & collagen deposits throughout the body
-localized
-generalized

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13
Q

localized scleroderma

A

-affects skin, fascia, mm & sometimes bone
-strikes children & young adults, mostly females
-fibrotic lesions, composed of abnormal fibroblasts form hard oval patches on skin’s surface or extend from skin deep into mm & bones of limbs & forehead

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14
Q

generalized scleroderma

A

-affects multiple systems of body: skin, capillaries, GI tract, lungs, heart & kidneys

divided into 2 categories: limited & diffuse
-limited: onset over 5-10 yrs
-diffuse: onset sudden, skin affected first

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15
Q

Still’s disease & juvenile rheumatoid arthritis

A

common conditions of chronic synovial inflammation in children
-cause unknown

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16
Q

systemic lupus erythematosus

A

one type of chronic, attack-remitting autoimmune inflammatory disease that can affect any system or organ in a variable manner
SLE = most common form of lupus

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17
Q

causes of osteoporosis

A

-gender: women twice as often as men
-post-menopause
-prolonged sex hormone deficiencies
-ovaries removed before age 45
-family history of osteoporosis
-Caucasian/ Eurasian ancestry
-thin, small bones
-primary hyperparathyroidism, hyperthyroidism, RA, liver or kidney disease, diabetes mellitus
-excessive use of meds
-calcium deficiency
-limited exposure to sunlight/ inadequate vitamin D intake
-caffeine consumption, more than 3 cups/day
-alcohol consumption, 2 drinks or more/day
-limited exercise/ weight bearing
-cigarette smoking

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18
Q

diabetes mellitus

A

chronic condition that results in problems with carbohydrate, protein & fat metabolism

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19
Q

type 1 insulin dependent diabetes mellitus

A

-IDDM or juvenile diabetes
-usually associated with dysfunction in pancreas resulting in absolute deficiency of insulin

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20
Q

those at risk of having type 1 diabetes mellitus

A

-may occur at any age, but mostly affects children or young adults
-some suggestion that cause may be viral
-usually a family history of diabetes

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21
Q

symptoms for IDDM (type I)

A

-frequent urination (polyuria)
-glucose & ketones in urine (glycosuria & ketonuria)
-excessive thirst (polydipsia)
-extreme hunger (polyphagia)
-unusual weight loss with normal/ increased eating
-extreme fatigue
-irritability
-sweet-smelling breath
-nausea or vomiting

22
Q

type 2 diabetes mellitus

A

-NIDDM
-when pancreas produces inadequate insulin or when body is unable to utilize insulin produced
-is often linked to poor diet

23
Q

those at risk for having type 2 diabetes mellitus

A

-adults, usually after age 45
-people who are overweight
-people with family history
-physically inactive people
-certain racial origins
-previous diagnosis of impaired glucose

24
Q

symptoms for NIDDM (type II)

A

-any symptoms of IFFM
-frequent infections
-slow-healing cuts & bruises
-tingling or numbness in hands/ feet
-recurring skin, gum or bladder infections
-blurred vision

25
Ketoacidosis (complication of diabetes mellitus)
-ccomplication of Type I IDDM & gestational diabetes which often occurs before diagnosis of diabetes has been made -has gradual onset & prolonged recovery -occurs when sodium, potassium & ketones lost in urine -begins with state of hyperglycemia which builds over period of hours/ day; when body’s requirement for insulin is high -blood sugar levels increase -dehydration & electrolyte imbalance follow, fats broken down to liberate glucose & ketones produced in process -ketones form in blood rapidly resulting in potentially serious condition of ketoacidosis -symptoms: warm, dry skin, tachycardia, hypotension, fruity smell of ketones on breath, depression of CNS, lethargy, vomiting, abdominal pain, stupor & coma
26
Hypoglycemia (complication of diabetes mellitus)
-insulin reaction that occurs in insulin-dependent diabetes or may be early sign of diabetes -can cause CNS problems such as HA, numbness of lips & tongue, blurred vision, slurred speech, confusion, euphoria, difficulty problem solving & impaired motor function -initially, hypotension & feelings of hunger leading to emotional changes, nervousness & irritability, tachycardia, shaking, sweating & constriction of peripheral vasculature causing cool, clammy skin
27
pregnancy
state of wellness associated with many interrelated changes that occur throughout woman’s body as fetus develops
28
pregnancy - first trimester symptoms
-nausea & vomiting; morning sickness, decrease by 10 weeks -frequent urination, often as every 2 hours -constipation -blood pressure often falls -breast changes begin -musculoskeletal changes result under influence of estrogen, progesterone & relaxin -taste & smell altered -mood swings -extreme fatigue increases feelings of irritability or depression
29
pregnancy - second trimester
-months 4-6; "quiet months" -RISK of miscarriage is greatly reduced when pregnancy reaches this stage -women begin to feel fetal movement around 18-21 weeks -will receive test results indicating potential problems with fetus -at end of second trimester, by 23 weeks, fetus can survive premature birth
30
pregnancy - second trimester symptoms
-edema (in legs) -hypertension/ hypotension -shortness of breath -backache -abdominal pain -diastasis symphysis pubis (separates)\ -varicose veins -hemorrhoids (vericose veins around rectum) -changes in skin -stretch marks
31
pregnancy - second trimester: pre-eclampsia symptoms
-first/ multiple pregnancy -chronic/ long-term hypertension -chronic renal disease -malnutrition -diabetes -history of PIH in family or in previous pregnancy -younger than 20yrs & older than 30 -developing hydramnios; excess of amniotic fluid
32
diastasis recti - pregnancy (second trimester)
abdominal pain: mm can experience extreme stretching as pregnancy advances & then separate
33
pregnancy - third trimester
-many of second trimester symptoms continue into third -physical discomforts increase as pregnancy advances -in eighth month, baby has almost reached birth weight but has not yet positioned itself down into pelvis -in ninth month, woman may feel less physical discomfort & more energy as baby’s head drops into pelvis in preparation for birth
34
pregnancy - third trimester symptoms
-gestational diabetes develops during pregnancy, increased amounts of insulin -Ketoacidosis; danger secondary to diabetes, due to increased stress, more likely when woman does not eat for long periods, body produces high levels of blood acids called ketones -edema in legs & hands, especially fingers & face -compression syndromes such as TOS & CTS -backache may increase -SI sprain can cause intense pain over sacrum -leg cramps, especially in calf
35
pregnancy - fourth trimester (postpartum)
-physical changes in woman’s body linger after birthing -post-surgical recovery may arise from episiotomy or C-section -episiotomy involve incision in perineum before birth in order to prevent tearing -if cesarean performed, woman will be recovering from major abdominal surgery & full recovery takes 4-6 weeks with no complications -breasts sore with cracking around nipples
36
pregnancy - fourth trimester (postpartum): "pregnancy blues"
in mild form: woman may experience extreme joy but also sadness, fear, anger or anxiety
37
pregnancy - fourth trimester (postpartum): depression
-postpartum blues, last more than 2 weeks or strong feelings of depression -increasingly intense feelings of anger, hopelessness & sadness that interfere with mother’s ADL’s -inability to sleep, even when tired -extreme changes in appetite -worrying about baby excessively, or taking little interest in baby -panic attacks -fears of harming baby or herself
38
what is HIV
HIV (human immunodeficiency virus): virus that causes AIDS (acquired immune deficiency syndrome)
39
HIV - transmission
-fragile virus that does not survive outside body -not transmitted through casual contact, nor is it airborne -virus cannot pass through skin that has no cuts or abrasions
40
HIV - symptom picture
-initial HIV infection often symptomless -may experience flu-like symptoms when antibodies to virus are being created -may be asymptomatic for long time -during asymptomatic period, T-helper cells attacked by virus but after certain point, immune system is overwhelmed & no longer able to control virus -over time, more serious infections & cancers develop -AIDS dementia may occur -peripheral neuropathies may result from HIV itself or from medication -rheumatic manifestation of severe joint & mm pain may be present -periods of relatively good health between bouts of serious illness
41
cancer
general term used for abnormal, uncontrolled growth of cells
42
benign vs. malignant tumors
BENIGN = encapsulated MALIGNANT = NOT encapsulated
43
metastasizing (cancer)
movement of cancer cells to other areas of the body occurs by way of circulatory system or lymphatic system
44
naming types of cancers
-“oma”: used to designate a tumour & is added to name of tissue type from which tumour originated -carcinoma: term used for malignant tumour that originates in epithelial tissue -sarcoma: used for tumour that develops in CT such as cartilage, bone, mm & fat
45
causes of cancer (carcinogens)
-cigarette smoke -radiation from UV rays of sunlight -certain drugs & hormones such as immunosuppressors & estrogen -industrial agents or toxic substances; asbestos, chromium, coal tar, benzene, cadmium, radon, uranium & nickel -excesses or deficiencies in diet, particularly low fibre & high fat
46
mastectomy (breast cancer)
removal of entire breast & lymph nodes of the axilla
47
colorectal cancer - causes & contributing factors
-cause unknown -diet appears to play a role; too much fat, especially saturated fats -preventative factors are an adequate intake of fibre, fruits & vegetables as well as vitamin C & E
48
lung cancer - sauces & contributing factors
carcinogens: asbestos, chromium, benzene, cadmium, nickel, radon & coal tar products, cigarette smoking
49
prostate cancer - causes & contributing factors
-cause is unknown, though diet is thought to play a role. -fats in particular animal fats may contribute to an increased risk
50
postate cancer - symptoms
-occasionally no symptoms in prostate & cancer only detected after it has metastasized to another area -incomplete emptying of bladder can lead to bladder infections & pain/ burning with urination -men may have difficulty starting urination & may notice a weak stream -may be increased frequency in urination or leakage -impotence may be a side effect of all tx for prostate cancer
51
prostate cancer - medical Tx
-in men over 70, with slow growth type of prostate cancer, physician will regularly observe progress of disease -surgery may be used to remove prostate completely or may be partially removed to relieve symptoms -radiation frequently used to destroy cancer cells -hormone tx used if cancer has metastasized or is very advanced locally