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8069085
my hands are aching
Descripción
Medicine Mapa Mental sobre my hands are aching, creado por yasmin alkhatib el 12/03/2017.
Sin etiquetas
medicine
Mapa Mental por
yasmin alkhatib
, actualizado hace más de 1 año
Más
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Creado por
yasmin alkhatib
hace casi 8 años
74
0
0
Resumen del Recurso
my hands are aching
anatomy of the hand
joints in the hand
Ellipsoid
radiocarpal joint
metacarpophalangeal of the fingers
carpometacarpal of the fingers
hinge
metacarpophalangeal of the thumb
interphalangeal
plane
intercarpal
saddle
carpometacarpal of the thumb
anatomy of the carpal tunnel
carpal tunnel syndrome
compression to the median nerve causing numbness in the thumb and index and middle fingers
nerve supply
median nerve
radial nerve
ulnar nerve
blood supply
anatomy of tendon sheath
layers
fibrosis tendon sheath
synovial sheath
synovial fluid
functions
reduction of friction
shock absorption
nutrient and waste transportation
composition
lubricin
hyaluronan
proteinases
proteins
27 bonres
8 carpals
5 metacarpals
14 bones in thefingers
muscles
physiology of the hand
wrist joint
ulnar deviation
radial deviation
flexion
extention
fingers
thumb
oppostion
abduction
adduction
Rheumatoid arthrities
signs & symptoms
morning stiffness
due to the swelling
joint pain, swelling
more than one joint is effected
especially small joints
joints at both sides
characteristic deformity of the hands
Z deformity of the thumb
button hole deformity
swan neck deformity
diagnostic criteria ( 4 criteria present for 6 weeks)
RF+
Rheumatoid nodules
radiographic changes erosions
symmetric arthritis
arthritis of hand joints
morning stiffness >1 hour
unequivocal periarticular osteopenia
arthritis of > 3 joints areas
defenition
an autoimmune disease in which the immune system attacks the joints
pathophysiology
infiltration of the synovial membrane with lymphocytes, plasma cells, dendritic cells, macrophages
interactions between T cells and B cells lead to the production of cytokines and autoantibodies (RF)
synovial macrophages produce proinflammatory cytokines ( TNF, IL-1, IL-6, IL-15)
act on the synovial fibroblasts to promote swelling of the synovial membrane
activation of osteoclasts and chondrocytes
lab test
latex test and RF
CRP
an acute phase serum protein that acts as a surrogate for the proinflammatory IL-6
ESR
in inflammation some proteins cause RBCs to stick together and fall more quickly than normal
anemia of chronic inflammation
bone marrow is producing high amount of WBCs so it's crowded and less RBCs are produced
stages of RA
moderate RA ( stage II)
stage IV
severe RA ( stage III)
Early stage ( stage I)
complications
Eye problems
kidney and liver problems
peripheral neuropathy
vasculitis
pregnancy complications
radiograph of RA
other systemic effects of RA
cardiac disease
renal disease
skin manifestation
haematologic manifestation
pulmonary manifestation
epidemiology
most common in autoimmune disease
occurs at twice the rate in women than men
the incidence increase with Age
management of RA
NSAIDs
DMARDs
mechnism of actin
methotrexate, sulfasalazine , hydroxychloroquine, azathioprine
physiotherapy
cold\hot application
electrical stimulation
hydrotherapy
rahabilitative treatment
therapeutic exercise
massage therapy
therapy gloves
rest and splinting
to help decrease inflammation
properly position joints
examination of the hand
look
dorsum, palm, nails, fingers, skin
feel
muscles, tendons, joints, nerves
move
wrist, fingers, thumb
special tests
finkelstein's test
phalen's test
tinel's test
beliefs and compliance
the patient feels susceptible to the illness or it's complications
patients are worried about diminishing effectiveness of medication over time
patients are afraid of dependence on the long-term medication
cultural and superstitious beliefs contradict the treatment
Recursos multimedia adjuntos
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1dfae29d-e3d7-49ce-9871-9d95f2713021 (image/png)
75dda73e-b17b-447e-ba17-fc5adb2de77d (image/jpg)
5634b42d-0911-43de-8944-60b0606d320c (image/jpg)
995c934b-d445-4784-a903-21ad181a287e (image/jpg)
6350325a-f9fc-4478-a8f8-980d0ae91d7b (image/jpg)
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