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MS - connective tissue disorders

Terms in this set (33)

lupis
autoantibody production that causes immune system suppression and ultimately tissue damage; vascular abnormalities; inflammatory mediators
1. young women of childbearing years
2. 3x more common African American
3. first-degree relatives of persons with lupus
4. physical or mental stress
5. streptococcal or viral infections
6. exposure to sunlight or UV light
7. pregnancy
8. estrogen contraceptives
9. epstein-barr virus
10. drugs that modify cellular responsiveness
risk factors for lupis
1. flare ups
2. fatigue
3. fever, weight loss, malaise
4. arthralgias, arthritis
5. butterfly rash
6. myocarditis, endocaritis, tachycardia
7. headaches, irritability, depression
8. renal disease
9. anemia
signs and symptoms of lupis
drug-induced lupis
comes from hydralazine for HTN or procainamide
antiphospholipid antibody syndrome
arterial and venuous thrombosis, recurrent fetal loss, immune thrombocytopenia, antibodies directed against cellular phospholipid components
late-stage lupus
chronic disease duration greater than 5 years; may result in complications like end-stage renal disease, atherosclerosis, pulmonary emboli, vascular necrosis; may see cognitive dysfunction
Teaching patient to have carefully controlled movements; space out activities and get adequate rest
Educating patient about importance of rest periods and adequate sleep
Skin breakdown prevention and care
Teaching patient joint-protection techniques
Muscle strengthening and endurance training
Educating patient about how to manage their symptoms and prevent further flare-ups
how PT treats lupus
fibromyaligia
a disorder of pain processing; 11-18 widespread points; brought on by sleep deprivation
women ages 20-55 y.o.; more prevalent in less active individuals; can be triggered by prolonged anxiety, emotional stress, PTSD, bipolar and depression
risk factors associated with fibramyaligia
1. aching or burning muscle pain
2. tender points in various muscle groups on both sides of body; diagnosed if there is 4 quadrant pain lasting for at least 3 months and report 11/18 common trigger points
3. circulation decreases to muscles during exercise
4. diaphragm fails to become primary muscle for breathing
5. higher level of muscular activity to complete activities;
6. trouble sleeping resulting in fatigue
signs and symptoms of fibromyaligia
1. education of disease and lifestyle adjustments
2. stress management strategies
3. nutrition
4. pharmacological interventions
5. cognitive behavioral therapy to alter perception of pain
6. exercise
7. modalities - electrotherapy, biofeedback, soft tissue mobilization
how to treat fibromyaligia
scleroderma
abnormal hardening of the skin; can be localized or systemic; chronic multisystem autoimmune disease
1. more common in women
2. african americans
3. Raynaud's is a precursor
risk factors for scleroderma
1. non-specific muscle pain
2. inflammatory arthritis
3. skin thickening and color changes
4. shortness of breath and a non-productive cough
5. moderate to severe heartburn
6. difficulty swallowing
7. severe heartburn
8. sexual dysfunction
9. renal failure
10. gastric antral vascular extasias "watermelon stomach"
signs and symptoms of scleroderma
1. immunosupressive medications
2. exercise
3. skin protection
4. stress management
how to treat scleroderma
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