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A comprehensive overview of the key aspects of osteoarthritis and rheumatoid arthritis, including patient screening, medication recommendations, joint involvement, and differential diagnosis. It covers the identification and management of these two common types of arthritis, addressing topics such as the american college of rheumatology's guidelines, the role of acetaminophen and physical therapy, and the interpretation of radiographic findings. Additionally, the document delves into the characteristic features of rheumatoid arthritis, such as morning stiffness and positive autoantibodies, as well as the diagnostic criteria for systemic lupus erythematosus. This information can be valuable for healthcare professionals, particularly nurse practitioners, in providing effective care for patients with these musculoskeletal conditions.
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Osteo arthritis Which patient below should be screened for osteoporosis? o 60 yr old with rheumatoid arthritis What medication is recommended by the American college of rheumatology as first line agent for a patient who has been unsuccessful with non-pharmacologic interventions for osteoarthritis pain? o Acetaminophen Which joints are least commonly involved in osteoarthritis? o Wrist A 75-year-old female who is otherwise healthy has mild osteoarthritis in her right knee. She complains of pain not relieved by acetaminophen 2000 mg daily. What should be done? o Continue acetaminophen and order physical therapy an 80-year-old patient is very active but presents today with posterior hip pain for the past week. Which of the following is least likely part of the differential diagnosis? o Osteoarthritis A 62-year-old female presents with atraumatic right knee pain. On exam she has mildly swollen right knee that is not war or tender to touch. She has a negative McMurry test. Her x-ray demonstrates tibiofemoral joint narrowing and visualization of osteophytes. How should the nurse practitioner interpret the results of this x-ray? o Osteoarthritis Rheumatoid arthritis Which findings are most commonly associated with rheumatoid arthritis? o Morning stiffness, positive rheumatoid antigen and antinuclear antibody Which of the following test if positive is part of the criteria for systemic lupus erythematosus (SLE)? o Antinuclear antibody (ANA)