Auto Immune Disease Chronic 2
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show | From longterm exposure to unknown antigen, genetically. They target synovial membranes, Then leukocytes- go to area and degrade synovial tissues and cartilage. Immune response is↑,
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Rheumatoid Factors | show 🗑
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show | An abnormal tissue layer that includes new formed blood vessels, that may develop within the synovial membrane, leading to greater loss of bone and cartilage. This leads to scar tissue.
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Risk Factors for RA | show 🗑
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Manifastations | show 🗑
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show | Hyperextension of the PIP joints, Boutonniere Deformity
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show | pleural disease, interstitial fibrosis, pneumonitis
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Cardiovascular | show 🗑
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Metabolic | show 🗑
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show | Rheumatoid Nodules
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show | Dry eyes/mouth
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Musculoskeletal | show 🗑
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show | Immunity
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Interrelated Concepts | show 🗑
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show | 40-60 .
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show | Highest link between that and RA
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Genetics | show 🗑
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show | Look for signs; joint swelling, pain, warmth, deformity . Also look for fever, anorexia, fatigue Psychosocial, Labs- RA factor, antinuclear-antibody titer, ESR, serum complement, serum protein, immunoglobulins, CT, Xray, arthrocentesis, bone scan
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Most Commonly Effected | show 🗑
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show | Anemia, multisystem effects, Can have periods of remission
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Complications | show 🗑
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Associated Syndromes | show 🗑
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show | Chronic Inflammation,↓ mobility, potential for↓self-esteem
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Planning and Implementation: Responding | show 🗑
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Pharm Therapy | show 🗑
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show | Glucocorticoids, immunosuppressive agents, Supplements- calcium, omega 3, linolenic acid,
WATCH for kidney stones from calcium, omega 3- can interfere with clotting
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show | Rest, proper positioning, ice/heat, plasmapheresis (helps with↑ levels of CRP, surgery, complementary and integrative therapies, promotion of self-care, management of fatigue,↑body image . Hydrotherapy
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show | Independence- adaptive devices, splints/braces, walkers/canes wheelchair, Encourage movement . Combat Fatigue- physical therapy, conserving energy
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Juvenile Idiopathic Arthritis | show 🗑
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show | unknown but thought to have a autoimmune link joint inflammation that leads to scar tissue and limited ROM. Altered growth of the epiphyseal plates
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Incidence of JIA | show 🗑
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Manifestations of JIA | show 🗑
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Tests for JIA | show 🗑
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show | Control Inflammation (also pain), Pain, Preserve function, Prevention of deformities, Remission, ↓side effects of disease, splints for promoting bone growth
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Pharm Therapy for JIA | show 🗑
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show | Promote mobility, ROM with Stretching/hydrotherapy
Encourage adequate nutrition
Educate the PT
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harley_chevy_girl