My Hand is Aching

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Mind Map on My Hand is Aching, created by Dana Alobadily on 02/03/2017.
Dana Alobadily
Mind Map by Dana Alobadily, updated more than 1 year ago
Dana Alobadily
Created by Dana Alobadily over 7 years ago
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Resource summary

My Hand is Aching
  1. Rheumatoid Arthritis
    1. Signs & Symptoms: begin with fever, malaise, arthralgias, and weakness before progressing to joint inflammation and swelling. Persistent symmetric polyarthritis (synovitis) of hands and feet (hallmark feature) Progressive articular deterioration Extra-articular involvement Difficulty performing activities of daily living (ADLs)
      1. Clinical Findings:- ‘swan neck’ deformity -The boutonnière or ‘button hole’ deformity- Z deformity of the thumb.-Rheumatoid Nodules
        1. investigations:1- Anti-CCP(cyclic citrullinated peptide): identifying autoantibodies 2-normocytic anemia :anemia of chronic disease(ACD) : The most common cause of the acquired form of normocytic anemia is a long-term (chronic) disease. 3-High Erythrocyte sedimentation rate and C-reactive protein (CRP) level : markers of inflammation 4-Rheumatoid factor (RF):measures the amount of the RF antibody in the blood : antibody can attach to normal body tissue, resulting in damage.
          1. Immunological Aspects of RA
            1. Risk Factors : Sex:  Women are more likely than men to develop rheumatoid arthritis. Age : between the ages of 40 and 60. Family history  Smoking Environmental exposures : asbestos or silica Obesity : overweight or obese
              1. Managements:
                1. pharmacolgicaly
                  1. Methotrexate:effective in reducing the signs and symptoms of RA, as well as slowing or halting radiographic damage. It has an immunosuppressive and anti-inflammatory effects
                    1. Hydroxychloroquine: mild RA, often combined with methotrexate. used in the treatment of lupus and malaria
                    2. physiotherapy
                      1. cryotherapy/hot applications
                        1. Electrical Stimulation
                          1. Hydrotherapy
                          2. Intermittent splinting
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