Term
What virus is associated with RA? |
|
Definition
|
|
Term
|
Definition
European Americans Women 40-60yrs Family history Heavy smokers |
|
|
Term
|
Definition
morning stiffness lasting for 45min to several hrs |
|
|
Term
|
Definition
progressive w/ remissions and exacerbations |
|
|
Term
|
Definition
red, hot, swollen; boggy and tender to palpation |
|
|
Term
Most common form of arthritis in older adults? |
|
Definition
|
|
Term
|
Definition
long term, severe proliferation of the synovial intimal layer |
|
|
Term
What diagnostic tests are used for RA? |
|
Definition
ESR (elevated) RF (elevated) CBC - anemia C-reactive protein (elevate) |
|
|
Term
Appearance of synovial fluid in RA |
|
Definition
increased turbidity(cloudiness) Decreased viscosity Increased protein and WBC levels |
|
|
Term
Medications are used with caution in older adults because of |
|
Definition
increased risk of toxicity |
|
|
Term
|
Definition
joint inflammation low grade ever faigue weakness anorexia paresthesias |
|
|
Term
Late joint manifestations RA? |
|
Definition
Deformities- swan neck or ulnar deviation Moderate to severe pain and morning stiffness |
|
|
Term
Late systemic manifestations? |
|
Definition
Osteoporosis Severe fatigue Anemia Weight loss Subcutaneous nodules peripheral neuropathy vasculitis pericarditis fibrotic lung disease jogren's syndrome renal disease feltys syndrome |
|
|
Term
|
Definition
Male: up to 15 mm/hr Women: up to 20 mm/hr |
|
|
Term
|
Definition
enlarged poplteal bursae behind the knee |
|
|
Term
Why are RA pts at increased risk for CHD? |
|
Definition
C-reactive proteins Low HDL Elevated cholesterol and triglycerides and high homocysteine Meds- Methotrexate and steriods |
|
|
Term
Uveitis is most commonly a complication of? |
|
Definition
|
|
Term
Pericarditis manifestations? |
|
Definition
Chest pain radiating to back relieved by sitting up and leaning forward. Worsened by lying down Dry cough, fever and anxiety Auscultation-Friction rub CHF JVD Peripheral edema |
|
|
Term
|
Definition
Fever, weight loss, palpable purpura, hypertension, gangrene, nose bleeds, bloody cough abdominal pain, bloody stools, perforations andglomerulonephriti |
|
|
Term
First drug prescribed in the treatment of RA? |
|
Definition
|
|
Term
Therapeutic blood level for aspirin and full anti inflammatory effect? |
|
Definition
|
|
Term
Toxic does of aspirin produces? |
|
Definition
Tinnitus and hearing loss |
|
|
Term
Methotrexate- most frequent side effects? How are they controlled? |
|
Definition
Gastric irritation and stomatitis Controled with folic acid |
|
|
Term
Hydroxycholoroquine (Plaquenil) classification? Adverse effects? |
|
Definition
Antimalarial 3-6 months before desired effects Pigmentary retinitis and vision loss |
|
|
Term
|
Definition
chronic, progressive, systemi inflammatory autoimmune disease process that affects primarily the synovial joints |
|
|