Rheumatoid Arthritis Bb(1)(1) (1) - Chapter 39 Assessment and Management of Patients With Rheumatic Disorders Copyright 2014 Wolters Kluwer Health |

Rheumatoid Arthritis Bb(1)(1) (1) - Chapter 39 Assessment...

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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 39 Assessment and Management of Patients With Rheumatic Disorders Chapter 39 Assessment and Management of Patients With Rheumatic Disorders
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Rheumatoid Arthritis Rheumatoid Arthritis RA  chronic systemic autoimmune disorder Abnormal overactive functioning of immune system Inflammation of connective tissues Primarily in joints Course and severity variable Chronic pain, alterations in body image
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Etiology Etiology RA is found worldwide 3 X more women than men Onset most frequently between 40–60 years Cause unknown Combination of factors
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Pathophysiology and Associated Physical Signs of Rheumatoid Arthritis Pathophysiology and Associated Physical Signs of Rheumatoid Arthritis
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Clinical Manifestations Clinical Manifestations Chronic condition manifested by Symmetric inflammation of peripheral joints Marked pain, swelling Significant, often disabling morning stiffness Fatigue and malaise weakness
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Clinical Manifestations, continued Clinical Manifestations, continued Extra-articular manifestations Systemic disease Anemia resistant to iron therapy Skeletal muscle atrophy Rheumatoid nodules
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Diagnostic Criteria for RA Diagnostic Criteria for RA Four of the following Morning stiffness lasting for 1hr for 6 wks Arthritis with swelling or effusion of 3 or more joints for at least 6 wks Arthritis of wrist, MCP, PIP joints for 6 wks Symmetric arthritis Rheumatoid nodules Positive serum rheumatoid factor Characteristic radiologic changes of RA
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