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OSTEOARTHRITIS, RHEUMATOID ARTHRITIS, GOUT QUESTIONS AND VERIFIED ANSWERS

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OSTEOARTHRITIS, RHEUMATOID ARTHRITIS, GOUT QUESTIONS AND VERIFIED ANSWERS

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What are some diagnostic studies for RA?


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Lab studies: RA factor (RF), ESR, C-reactive protein (CRP), antinuclear
antibody (ANA), anti-citrullinated protein antibody (ACPA)
Synovial fluid analysis
X-rays of involved joints
Bone scane




What are some diagnostic studies for OA?


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Bone scan, CT, MRI = detects early joint changes
Synovial fluid analysis = differentiates between OA and other inflammatory
arthritis
-OA = looks yellow colored

, -RA = looks strawberry colored


No specific lab biomarkers for OA




Incidence of RA


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Affects of ethnicities
Incidence increases with age, peaks 30-50
1.3 mil americans
Women > men




What is the etiology and patho of OA?


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Not a normal part of aging
It is an erosion of the articular surfaces
Cartilage destruction begins between 20-30 years, but symptoms do not
manifest until 50-60 years
50% of people >65 have at least one joint affected
Women > men

Inflammation is not characteristic
Secondary synovitis may occur - contributes to early pain and stiffness
Pain in later disease from bone to bone contact




Nursing implementation: health promotion


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