Rheumatoid arthritis

Description

Mind Map on Rheumatoid arthritis, created by mahmoud eladl on 11/03/2017.
mahmoud eladl
Mind Map by mahmoud eladl, updated more than 1 year ago
mahmoud eladl
Created by mahmoud eladl over 7 years ago
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Resource summary

Rheumatoid arthritis
  1. Classification of joints
    1. FIBROUS JOINTS
      1. CARTILAGENOUS JOINTS
        1. SYNOVIAL JOINTS
        2. Anatomy of the hand
          1. Bones
            1. phalanges
              1. metacarpals
                1. carplas
                  1. Distal Row
                    1. Trapezium Trapezoid Capitate Hamate
                    2. Proximal Row
                      1. Scaphoid Lunate Triquetrium Pisiform
                  2. joints
                    1. LIGAMENTS
                      1. Anterior radio-carpal
                        1. Posterior radio-carpal
                          1. Radial collateral
                            1. Ulnar collateral
                              1. Intercarpal ligaments
                              2. Muscle
                              3. investigations
                                1. Imaging
                                  1. Rheumatoid Factor Test
                                    1. Erythrocyte Sedimentation Rate
                                      1. C reactive protein
                                      2. systematic autoimmune disease in which the body’s immune system mistakenly attacks the joints
                                        1. result in inflammation that causes thickening of the synovium resulting in pain and swelling around the joints that can eventually result in bone erosion and joint deformity.
                                        2. Complications
                                          1. Carpal tunnel syndrome
                                            1. Widespread inflammation
                                              1. Joint damage
                                                1. Cardiovascular disease
                                                  1. Cervical myelopathy
                                                  2. Risk factors
                                                    1. Gender
                                                      1. Age
                                                        1. Genetics
                                                          1. Testesterone
                                                            1. stress
                                                              1. Breastfeeding
                                                                1. tobacco use
                                                                2. Mangement
                                                                  1. DMARDs
                                                                    1. Symptom Control
                                                                      1. Reduce joint damage and deformity
                                                                        1. Reduce long-term disability
                                                                          1. Sulfasalazine Hydroxychloroquine Methotrexate Minocycline Leflunomide
                                                                          2. Biologic therapies
                                                                            1. TNF inhibitors
                                                                              1. etanercept Infliximab adalimumab
                                                                              2. non-TNF biologic therapy
                                                                                1. Abatacept Rituximab Anakinra
                                                                              3. Glucocorticoids
                                                                                1. PHYSIOTHERAPY
                                                                                  1. Assess ,manage & treat a broad range of medical conditions
                                                                                    1. Relieve physical pain & heal injuries
                                                                                      1. Increase mobility, build strength, improve balance
                                                                                        1. enhance Cardiopulmonary performance
                                                                                          1. Use a variety of techniques to strengthen the muscles & joints
                                                                                            1. Provides gait training & Posture correction
                                                                                            2. Analgesics
                                                                                              1. NSAIDs
                                                                                                1. aspirin and ibuprofen
                                                                                                  1. MOA: inhibit COX and so inhibit the formation of inflammatory mediators.
                                                                                                    1. side effects
                                                                                                      1. -dyspepsia -Erosions -anaemia -ulcers
                                                                                                        1. -renal dysfunction -renal failure -heart failure
                                                                                                      2. Narcotics
                                                                                                        1. examples
                                                                                                          1. MOA
                                                                                                            1. side effects
                                                                                                              1. constipation nausea sedation confusion hallucination sweats
                                                                                                                1. pruritis delirium myoclonus hyperalgesia seizures
                                                                                                              2. Acetaminophen
                                                                                                                1. MOA: blocks COX3 and formation of PGE
                                                                                                                  1. side effects
                                                                                                              3. physical examination
                                                                                                                1. general
                                                                                                                  1. look
                                                                                                                    1. feel
                                                                                                                      1. move
                                                                                                                      2. special tests
                                                                                                                        1. phalen's
                                                                                                                          1. finkelstein
                                                                                                                            1. tinel
                                                                                                                              1. functional
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