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CBL mindmap
MariaE
Mind Map by MariaE, updated more than 1 year ago
MariaE
Created by MariaE about 9 years ago
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  1. Info
    1. Wants to be part of a team.
      1. Netball
        1. How much is good?
          1. Mother is concerned
            1. Swollen hands and wrists after
              1. Interview
                1. Medical History
                  1. Viral Infections
                    1. Juvenile Idiopathic Arthritis
                      1. Sees rheumatologist every 6 months
                    2. Often very tired
                      1. Very stiff
                      2. First walked at 2 yrs old.
                        1. 6 months delayed
                        2. Current
                          1. Naprosyn
                            1. Initially not helpful
                              1. NSAID
                                1. Reduces hormones that causes inflammation and pain
                                2. Methotrexate
                                  1. Used as a secondary, after others don't work
                                    1. Interferes with cell production
                                      1. Beneficial for 12-52 weeks
                                        1. Chemo drug
                                          1. No unexpected LOW
                                          2. Folic acid
                                            1. Assists in cell production
                                              1. Works with methotrexate to counteract the negative effects
                                                1. Greater risk of having cancer when taken with methotrexate
                                                2. Physio Assessment
                                                  1. Current 3/10 pain
                                                    1. HAQ 5/24
                                                      1. Good score
                                                        1. No activity limitation
                                                          1. Turning off hard taps
                                                            1. Getting out of low seats
                                                            2. Swimming 4x25 per week
                                                              1. Little athletics on sat mornings
                                                                1. Netball
                                                                  1. Swollen after
                                                                    1. 4 days
                                                                2. Full AROM both legs
                                                                  1. Wrists tender to palpate
                                                                    1. Good grip strength
                                                                    2. Knees puffy and tender
                                                                      1. L warmer than R
                                                                        1. R weaker than L
                                                                        2. Recent growth spurt
                                                                          1. New shoes
                                                                            1. Comfy
                                                                              1. Pretty
                                                                            2. X ray
                                                                              1. Osteopenia
                                                                                1. Mineral content is reduced
                                                                                2. Pauciarticular Juvenile RA
                                                                                  1. 4 or fewer joints involved
                                                                                    1. Affects bigger joints.
                                                                                      1. Linked to eye problems
                                                                              2. Eases
                                                                                1. Swimming
                                                                                  1. Water good on joints
                                                                                2. Family history
                                                                                  1. Great aunt has RA and SLE
                                                                                    1. NWB in wheelchair
                                                                                      1. Waiting for TKA
                                                                                        1. Contractures in wrist
                                                                                      2. Social History
                                                                                        1. 2 young sisters
                                                                                          1. Misses school occasionally
                                                                                            1. Good friends
                                                                                        2. Swollen knees after
                                                                                          1. Painful
                                                                                            1. Increased redness and swelling in wrist past 6 months
                                                                                          2. 9 yrs old
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