Inflammatory Disorders of the Musculoskeletal System
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| What is Arthritis? | show 🗑
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| What is Rheumatoid Arthritis? | show 🗑
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| show | The antibody Rheumatoid factor (RF)
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| What is the progression of rheumatoid arthritis? | show 🗑
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| Who is at most risk for rheumatoid arthritis? | show 🗑
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| show | *Synovitis as congestion and edema develop in the synovial membrane and joint capsule *Synovial fluid suufers reactive hyperplasia *Vasodilation and inc blood flow cause warmth and redness *Pannus formation (destructive vascular granulation tissue)
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| List 5 localized S/Sx of rheumatoid arthritis: | show 🗑
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| show | *Sjogren's syndrome *Fatigue *Malaise *Anorexia *Weight loss *Fever *Vasculitis *Neuropathy *Pericarditis *Splenomegaly *Anemia
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| What are the 4 'classic' S/Sx of rheumatoid arthritis? | show 🗑
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| show | There are currently a number of class action lawsuits due to cardiovascular complications associated with COX-2 inhibitors
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| show | methotrexate (Rheumatrex), an anti-neoplastic agent
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| show | Cyclosporine (Neoral) and Azanthioprine (Imuran)
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| What injection is given that acts as a lubricant, substituting for hyalonuric acid, the substance that provides joint tissue viscosity? | show 🗑
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| show | to lessen the possibility of ankylosis, muscle wasting, osteoporosis, and debilitating effect of prolonged reset
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| show | (AKA Osteoarthritis) A non-systemic, non-inflammatory disorder that progressively causes bones and joints to degenerate
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| show | the weight-bearing joints
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| How does Degenerative Joint Disease differ from rheumatoid arthritis? | show 🗑
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| show | Joint stiffness and pain Joint enlargement Limitation of joint movement *Herberden's nodes *Bouchard's nodes *Progressive limitation of ROM in affected joint
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| show | enlargement of distal interphalangeal joints, associated with osteoarthritis
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| What are Bouchard's nodes? | show 🗑
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| show | Abducted and extended
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| When a post-op hip replacement PT is OOB, how should they be seated in a chair? | show 🗑
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| What is Gout (gouty arthritis)? | show 🗑
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| show | *Sudden onset of pain and tenderness in one joint (commonly the great toe) *Swelling, and redness of the joint *Joint becomes hypersensitive to touch *Fever *Presence of Tophi *Joint deformities
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| show | urate crystals
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| What should be decreased in the diet in a PT with gout? | show 🗑
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| What is Ankylosing Spondylitis (Marie-Strumpell Disease) | show 🗑
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| What are the systemic effects of Ankylosing Spondylitis? | show 🗑
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| What is Iridocyclitis? | show 🗑
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| What is found in 90% of PTs with Ankylosing Spondylitis? | show 🗑
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| What can the PT with Ankylosing Spondylitis do to help extend the spine? | show 🗑
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| show | an exercise program may help delay or prevent spinal deformity, especially if begun in the early stages of the disease
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