NR 509 MIDTERM REVIEW (LATEST 2024/2025) VERIFIED SOLUTIONS, Exams of Nursing

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NR509 riiMIDTERM riiREVIEW

NR509 MIDTERM REVIEW * Articular Structures: Articular structures include joint capsule and articular cartilage, the synovium and synovial fluid, intra-articular ligaments and juxta-articular bone. * Articular Disease: Swelling, tenderness of the joint, crepitus, instability "locking", deformity and limits active and passive range of motion due to stiffness or pain. © Extra-articular structures: includes periarticular ligaments, tendons, bursae, muscle, fascia, bone, nerve, and overlying skin. © Extra-articular disease: point of focal tenderness in regions adjacent to articular structures, limits ACTIVE ROM, and RARELY causes swelling instability, and joint deformity. © Intra-articular (acute < 6 weeks): acute arthritis © Infectious arthritis o Gout © Pseudo-gout © Reiter syndrome * Intra-articular (chronic >6 weeks): chronic inflammatory arthritis vs chronic noninflammatory arthritis. ° Chronic inflammatory arthritis with 1-3 joints involved: - Indolent infection = Psoriatic arthritis . Reiter syndrome . Periarticular JA ° Chronic inflammatory arthritis with >3 joints involved: . Psoriatic arthritis or Reiter syndrome (no symmetry) - rheumatoid arthritis if not RA then > systemic lupus, scleroderma, polymyositis * Sources of Joint Pain Approach to Musculoskeletal Complaints .%®-—_— & Chon hone nae intarmatry i “tas antes eeeret ee ‘e@DIP.CMC1, tip. or} | Chroncinlammatory | | Chronic iniammatory} ‘knee joints involved? | | mono/oligoarthritis: polyarthritis: incl iecton T OJ @ | terraiewnens 7 + Pauciartcular JA ‘symmetric? Unlikely to be Osteoartrtis ] Consider roe | aEaSy aRags i i fi |