AHN 554 Exam 5 Study Guide 2024
Sx of RA - Ans:-- AM stiffness > 30min
- symmetric polyarthritis with small joints (hands/feet)
- middle age
- rheumatoid nodules (bony prominences)
RA initial lab results - Ans:-elevated CRP and ESR
Anemia
Elevated platelets
RA DX lab result - Ans:-Elevat...
sx of GOUT - Ans:✔✔-- Swollen, tender, skin tense, warm/dusky red
- fever is common, intense pain
- sudden onset, frequently nocturnal
Diagnostic test of gout - Ans:✔✔-- serum uric acid can be normal
- WBC may be elevated
-***DX: sodium urate crystals in joint fluid
- xray: chronic punched-out erosions
Acute and chronic tx of gout - Ans:✔✔-acute: NSAIDs, colchicine (don't use in liver/kidney impairment),
corticosteroids, Interleukin-1 inhibitors
chronic: allopurinol ir febuxostat
- between attacks: colchicine, diuretics, ASA, niacin, avoid organ meats, ETOH, high fructose corn syrup
sx of septic arthritis - Ans:✔✔-*** acute onset of monoarticular joint pain, erythema, heat and
immobility
-limited ROM
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