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Musculoskeletal Disorders
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A | B |
Osteoarthritis pathophysiology | deterioration of cartilage and bone ends of joints |
Osteoarthritis etiology | Related to risk factors (age, obesity, physical activities causing repeated stress, trauma, diseases, congenital |
Osteoarthritis S/S | joint pain/stiffness, increased pain with activity, may have nodes on joints of fingers called Heberden's nodes or Bouchard's nodes |
Osteoarthritis Diagnosis | Xray, CT, MRI - but usually history, symptoms, and clinical findings |
Osteoarthritis Treatment | NSAID's, muscle relaxants, Cox 2 inhibitors like celebrex, alternating rest with exercise, splint joints, heat/cold, weight loss, surgery to replace joint |
Rheumatoid Arthritis (RA) Pathophysiology | inflammation of synovium (lining of joint), synovium becomes thick, fluid accumulates, joint swells, destructive process begins, destruction causes new tissue growth which is eventually converted to bone tissue causing immobility of joint |
RA Etiology | genetics is the best guess - really unknown - the rheumatoid factor triggers an autoimmune response |
RA S/S | varies with disease progression - minor as dull aching; as major as tremendous pain and can even affect other systems such as glands, liver, and blood |
RA diagnosis | blood tests such as RF (rheumatoid factor, RBC's which will be decreased, C4 compliment (decreased), ESR (increased), ANA (positive), CRP (positive) |
RA treatment | salicylates, NSAID's, gold injections, chemotherapy agents like methotrexate, prednisone; also heat/cold, rest/activity alternating, surgery |
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School of Practical Nursing |
James Rumsey Technical Institute |
Martinsburg, WV |
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