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109 ch. 54
OA & RA
Question | Answer |
---|---|
What is a common rheumatic disease | OA- osteoarthritis, inflamed joints, idiopathic, joint space narrows |
In the inflammatory process, leukotrines and prostoglandins do what to cartilage | break it down with enzyme, collagenase |
the most common symptom to cause OA pt to seek medical attention | pain |
an ESR test for OA can detect what | inflammation activity adn progression of disease |
What is RA characterized as | Rheumatoid arthritis, autoimmune disease with inflammation and degeneration in connective tissue |
what is classic symptom of RA and how differ from OA | joint stiffness in morning that doesn't subside wtih stretching OA has morning stiffness that goes away with mvmt |
What are some s/s of RA | fever, wt loss, fatigue, anemia, lymph node enlargement, Raynaud's phenomenon(blanched fingers) |
Is the rheumatoid factor found in lab results the only indicator | no, bilateral/symmetrical stiffness, ESR elevation, RBC decr, C-reactive protein, antinuclear antibody pos. |
what is the synovial fluid look like in inflammed joints | cloudy, milky, dark yellow |
What is polymyalgia rheumatica | severe proximal muscle discomfort wtih mild joint swelling. severe aching in neck, shoulder, pelvic muscles is common |
what is assessment for polymyalgia rheumatica | musculoskeletal tenderness, weakness, decr fx also, giant cell arteritis can occur showing headaches, vision changes, jaw claudication |
What is tx for polymyalgia rheumatica | corticosteroids, need to maintain adherence to avoid complications of giant cell arteritis like blindness. |