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Related Concept Videos

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 IV: Nursing Management01:20

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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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Assessment of the Mouth01:26

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Rheumatic Heart Disease I: Introduction01:23

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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 II: Clinical Manifestations and Diagnostic Studies01:22

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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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Oral Cavity01:11

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The oral cavity, or the mouth, is a complex structure in humans that plays a vital role in our day-to-day lives. Its role is not only in chewing and swallowing food; it also plays a role in speech and facial expressions.
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
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Author Spotlight: Enhancing Rheumatoid Arthritis Research Through HR-pQCT Imaging Analysis
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Oral Health in Rheumatoid Arthritis: Listening to Patients.

J L P Protudjer1,2, C Billedeau3, K Hurst4

  • 1Children's Hospital Research Institute of Manitoba, Winnipeg, Canada.

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|May 5, 2021
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Individuals with rheumatoid arthritis (RA) face complex oral health challenges. Addressing these, particularly shame and complicated care, is crucial for improving their quality of life and arthritis outcomes.

Keywords:
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Area of Science:

  • Rheumatology
  • Oral Health
  • Patient-Reported Outcomes

Background:

  • Rheumatoid arthritis (RA) is linked to increased rates of periodontal disease and tooth loss.
  • Understanding the factors contributing to poor oral health in RA patients is critical for improving overall health outcomes.

Purpose of the Study:

  • To explore the oral health perceptions of individuals with RA.
  • To identify patient-centered priorities for oral health research in RA.
  • To inform strategies for delivering effective oral health education to RA patients.

Main Methods:

  • Semistructured interviews were conducted with 11 individuals diagnosed with RA.
  • Interview transcripts were analyzed thematically to identify recurring patterns and insights.
  • Data saturation was achieved when no new themes emerged in subsequent interviews.

Main Results:

  • Three primary themes emerged: limited knowledge of arthritis-oral health links, complexities in oral hygiene and professional care, and the emotional burden of poor oral health (shame).
  • Participants expressed a preference for receiving oral health education from their rheumatologists or dentists.
  • Most participants (91%) were women with a mean age of 68, all on RA medication.

Conclusions:

  • Individuals with RA have distinct oral health perceptions and face significant challenges due to their condition.
  • Adapting oral hygiene practices and professional dental care delivery to the specific needs of RA patients is a key priority.
  • Improving oral health satisfaction requires tailored approaches to care and education for those with rheumatic diseases.