OA & RA
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What is a common rheumatic disease | OA- osteoarthritis, inflamed joints, idiopathic, joint space narrows
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In the inflammatory process, leukotrines and prostoglandins do what to cartilage | break it down with enzyme, collagenase
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the most common symptom to cause OA pt to seek medical attention | pain
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an ESR test for OA can detect what | inflammation activity adn progression of disease
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What is RA characterized as | Rheumatoid arthritis, autoimmune disease with inflammation and degeneration in connective tissue
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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
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What are some s/s of RA | fever, wt loss, fatigue, anemia, lymph node enlargement, Raynaud's phenomenon(blanched fingers)
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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.
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what is the synovial fluid look like in inflammed joints | cloudy, milky, dark yellow
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What is polymyalgia rheumatica | severe proximal muscle discomfort wtih mild joint swelling. severe aching in neck, shoulder, pelvic muscles is common
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what is assessment for polymyalgia rheumatica | musculoskeletal tenderness, weakness, decr fx
also, giant cell arteritis can occur showing headaches, vision changes, jaw claudication
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What is tx for polymyalgia rheumatica | corticosteroids, need to maintain adherence to avoid complications of giant cell arteritis like blindness.
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