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Skeletal Disorders

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Submitted By Feeny1977
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A 72 y/o female presents with progressively worsening pain and stiffness of her joints. She reports decreased range of motion and redness and swelling in the joints. She reports symptoms occur in the same joints on both sides of the body and are worse when she first wakes up.

The likely diagnosis of this female, 72 years of age, who reports decreased range of motion and redness and swelling in the joints is Rheumatoid Arthritis (RA). Rheumatoid Arthritis is an autoimmune disorder. An autoimmune disorder is defined as a condition in which the immune system attacks the body’s healthy tissues. Rheumatoid Arthritis is not only painful it is often debilitating. This painful disorder is caused from the synovial membrane of a joint becomes inflamed and thickened. Once this occurs damage to the articular cartilage occurs, which leads to fibrous tissue to infiltrate, interfering with joint movements. The 72 year old patient reports symptoms that occur in the same joints on both sides of the body and are worse when she first wakes up, which is symptoms of Rheumatoid arthritis. Symptoms of Rheumatoid arthritis include:
- Fever
- Weight Loss
- Tender, warm, swollen joints
- Morning stiffness
- Fatigue
- Pain and swelling can occur in the same joints on both sides of your body.

The doctor will perform a physical exam checking the joints for redness, warmth and swelling. Checking the patients muscle strength and reflexes can also help determine if the she is suffering from this condition. Other test such as blood tests can be performed on the patient but can be difficult to diagnose during the early stages of this disorder because the early signs and symptoms mimic may other diseases. Blood tests that that check the erythrocyte sedimentation rate, patients with rheumatoid arthritis tend to have and elevated sedimentation rate, and tests that look for rheumatoid

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