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Related Concept Videos

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Structural Joints: Fibrous Joints01:03

Structural Joints: Fibrous Joints

Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Functional Classification of Joints01:09

Functional Classification of Joints

Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses  or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
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Related Experiment Video

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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice
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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice

Published on: September 13, 2024

Temporomandibular joint dysfunction in various rheumatic diseases.

F J Aceves-Avila1, M Chávez-López, J R Chavira-González

  • 1Hospital General Regional No. 46, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. fjaceves@megared.net.mx

Reumatismo
|July 26, 2013
PubMed
Summary

Temporomandibular disorder (TMD) is common in patients with rheumatoid arthritis and osteoarthritis. Many patients experience symptoms, but few seek medical help, even with severe impairment.

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Area of Science:

  • Rheumatology
  • Dental Medicine
  • Epidemiology

Background:

  • Temporomandibular disorder (TMD) affects masticatory function and is prevalent in the general population.
  • While many exhibit signs, only a small fraction require treatment.

Purpose of the Study:

  • To determine the frequency of TMD in patients with rheumatoid arthritis (RA), osteoarthrosis (OA), ankylosing spondylitis (AS), and systemic lupus erythematosus.
  • To identify the perceived limitations in daily life associated with TMD in these patient groups.

Main Methods:

  • A six-month survey of 171 outpatients in a rheumatology clinic.
  • Defined TMD by the presence of pain, difficulty with mouth opening/chewing/speaking, and non-harmonic temporomandibular joint movements.
  • Utilized Z-test for comparing proportions.

Main Results:

  • Overall, 29.24% of patients were diagnosed with TMD.
  • TMD was more frequent in patients with OA (38%) and AS (39%) compared to the general TMD prevalence.
  • 76% of the sample reported symptoms, yet only 16% of those with TMD sought medical attention, irrespective of severity.

Conclusions:

  • TMD is notably more prevalent in patients with RA and OA.
  • Despite potential for severe impairment, patients often adapt without seeking medical intervention.