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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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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...
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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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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...
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Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

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

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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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...
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Immunodeficiency Diseases01:25

Immunodeficiency Diseases

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Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
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A Standardized Method for Measurement of Elbow Kinesthesia
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[Elbow prostheses in rheumatic diseases].

V Rausch1, M Hackl2, T Leschinger2

  • 1Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Schwerpunkt für Unfall‑, Hand- und Ellenbogenchirurgie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland. rauschv@gmail.com.

Zeitschrift Fur Rheumatologie
|September 27, 2018
PubMed
Summary
This summary is machine-generated.

Total elbow arthroplasty can replace joints damaged by rheumatic diseases, with 10-year survival rates of 81-90%. However, caution is advised due to long-term survival and complication concerns.

Keywords:
Complication rateEndoprosthesisRheumatismRheumatoid arthritisSurvival

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Area of Science:

  • Orthopedic surgery
  • Rheumatology
  • Biomedical engineering

Background:

  • Rheumatic diseases can severely damage elbow joints, necessitating joint replacement.
  • Advances in pharmaceutical treatments have decreased the need for elbow arthroplasty in some rheumatic disease patients.
  • Total elbow arthroplasty remains a viable option for severe elbow destruction.

Purpose of the Study:

  • To evaluate the current status and outcomes of total elbow arthroplasty.
  • To discuss the implications of improved medical management on arthroplasty rates.
  • To highlight the benefits and limitations of current elbow prostheses and surgical techniques.

Main Methods:

  • Review of reported 10-year survival rates for total elbow implants.
  • Analysis of complication rates associated with total elbow arthroplasty.
  • Discussion of technological advancements in prostheses and surgical procedures.

Main Results:

  • Reported 10-year survival rates for total elbow implants range from 81% to 90%.
  • Despite improvements, limited long-term implant survival and high complication rates necessitate cautious use.
  • Aseptic loosening and infections are significant complications.

Conclusions:

  • Total elbow arthroplasty is effective but requires careful consideration due to potential complications.
  • Ongoing technical improvements in prostheses and surgical techniques may reduce future complication rates.
  • Further research into long-term outcomes and complication mitigation is warranted.