What is the goal of medical treatment in RA - decrease joint pain and swelling, achieve clinical
remission, decrease liklihood of joint deformity and minimize disability
When do we typically see an onset of rheumatic diseases? - between the 3rd and 6th generation
they can be acute, sudden or ins...
What is the goal of medical treatment in RA - decrease joint pain and swelling, achieve clinical
remission, decrease liklihood of joint deformity and minimize disability
When do we typically see an onset of rheumatic diseases? - between the 3rd and 6th generation
they can be acute, sudden or insidious (no known cause)
Do rheumatic diseases affect males or females more? - women are 2 - 9x more commonly
affected by rheumatic diseases than men
Remission vs. Exacerbation - remission: a period when disease symptoms are reduced or absent
exacerbation: a period when symptoms occur or increase
Monoarticular vs Polyarticular - Affecting 1 joint
vs
Affecting multiple joints
What are some assessment and diagnostic tests used for rheumatic diseases? - general health hx,
past health hx and onset of symptoms
- do you have any fatigue?
previous treatments and their effectiveness
gait, posture and general muscoskeletal structure are observed
gross deformities noted
, arhtrocentesis: aspiration of synovial fluid in joints
- yellow, purulent = infection (clear fluid is good)
X-rays, MRI, CT scans
tissue biopsies & blood tests
What is the medical management for rheumatic diseases in general? - relieving pain & discomfort
medications:
NSAIDs & DMARDs
decreasing fatigue and promoting restful sleep
SLEEP IS IMPORTANT
increasing mobility and facilitating self care
- PT, OT, active ROM
heat applications are helpful in relieving pain and stiffness
- 20 minutes of application
Important lab values to consider for rheumatic diseases - WBC: decrease may be seen with SLE
Rheumatoid Factor: present in up to 80% of people with RA
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