rheumatoid arthritis ra inson lou. epidemiology symptoms signs labs diagnosis treatment
TRANSCRIPT
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RHEUMATOID ARTHRITIS RA
Inson lou
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Epidemiology Symptoms signs Labs Diagnosis Treatment
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Epidemiology
Unknown
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Epidemiology
Immune System - an autoimmune disease
Gender – Women:men 2-3:1
Genetics Infection
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Symptoms signs
Joint - pain, warmth, stiffness, redness, deformities.
it can start in any joint, but also start in wrist, finger, knee, elbow, toe, ankle, back, or neck.
often on both sides of the body
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Symptoms - other Fatigue General discomfort, uneasiness, or malaise Loss of appetite Low-grade fever Round, painless nodules under the skin Skin redness or inflammation Paleness Swollen glands Eye burning, itching, and discharge Numbness or tingling
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Labs
RF ESR X-ray ANA Synovial fluid (滑液 ) analysis / biopsy
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Osteopenia 骨質減少
Cartilage deformity 軟骨畸形
Bone erosion 骨質侵蚀
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Diagnosis – 1987 revised criteria for the classification of rheumatoid arthritis (>= 4 item)Morning stiffness of the joint >1h ,>6wArthritis of 3 of more joint >6wArthritis of wrist, metacarpophalangeal joint,( 掌指關節 ) or proximal interphalangeal joint. ( 近側指指關節 ) >6wSymmetric arthritis >6wRheumatoid nodulesRf (+)Radiographic changes
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Treatment- general menage
Education Rest / Exercise Diet
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Treatment- Drugs
NSAID Corticosteroid
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Disease – modifying antirheumatic drugs DMARDs
Methotrexate Antimalarial drugs 抗疟药 Penicillamine 青霉胺 ,Sulfasalazine 柳氮磺胺吡啶 .Cyclosporine ,Azathioprine 硝基咪唑硫嘌呤 , Gold
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Methotrexate
How to use CBC Kidney function test Liver function test Folic acid
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Surgery
Ensure pt. to maintain function.
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Conclusion
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Overview
Rheumatoid arthritis is a chronic disease, mainly characterized by inflammation of the joints. It can lead to long-term joint damage, resulting in chronic pain, loss of function and disability.