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Musculoskeletal NH
LNUR 2200
Question | Answer |
---|---|
What are the five skeletal functions? | supports surrounding tissues, protects vital organs & soft tissue, leverages & attachment for muscles, produces RBCs &WBCs& Platelets, and stores mineral salts |
What is PTH? | parathyroid hormone, via the parathyroid gland, stimulates bone reabsorption, regulates calcium, timuates function of vitamin d |
What is Calcitonin? | via the thyroid gland, inhibits calcium loss, increases calcium storage in the bones |
How does Estrogen play a role bones? | It stimulates bone growth |
What is the peak age of bone growth? | 35 years old |
What are normal musculoskeletal changes that occur with aging? | decreased strength, endurance and coordination, slowed movement, muscle mass is replaced by fat, thickening of cartilage at the joints, synovial membrane thickens |
What is Degenerative joint disease/osteoarthritis? | steady degeneration of the joints, no remissions, no systemic symptoms, from repeated truama, 80% women, no known cause |
What is Rheumatoid Arthritis? | inflammation of connective tissues, remissions/exacerbations, chronic/systemic disease, adults onset is 20-40 y/o, mostly women, no known cause |
How is RA diagnosed? | ESR-sed rate=inflammation, + rheumatoid factor, elevated c reative protein |
What are the goals of treatment with RA? | Reduce pain, prevent deformity, maximize function |
What causes Gout? | Purines- contained in red wine, fish, red meat, ect. which have crystal deposits into the bone. Mainly effects the great toe. |
What are the symptoms of Gout? | Acute pain, swelling, redness warmth, fever, "attacks" |
What does the medication Benemid do with Gout? | increases the excretion of uric acids |
What are two antihypouricemics that are used with Gout? | Cholchicine (acutes attacks only) and Zyloprim (blocks formation of crystals) |