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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 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 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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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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Therapy for the Rheumatoid Hand.

Ahneesh J Mohanty1, Kevin C Chung1

  • 1Department of Surgery, Section of Plastic Surgery, University of Michigan Health System, 1500 E. Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.

Hand Clinics
|November 9, 2024
PubMed
Summary
This summary is machine-generated.

Occupational therapy improves quality of life for rheumatoid arthritis (RA) patients with hand involvement. Further research is needed to optimize hand therapy protocols for rheumatoid arthritis functional outcomes.

Keywords:
Occupational therapyRehabilitationRheumatoid hand

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Area of Science:

  • Rheumatology
  • Occupational Therapy
  • Hand Surgery

Background:

  • Rheumatoid arthritis (RA) causes progressive inflammatory destruction of hand tissues, leading to functional deficits.
  • Occupational therapy is recognized for its synergistic role in improving quality of life for RA patients.
  • Postoperative rehabilitation protocols are crucial for optimizing surgical outcomes in RA patients.

Purpose of the Study:

  • To highlight the importance of occupational therapy in managing rheumatoid arthritis of the hand.
  • To underscore the need for further investigation into comparative treatment protocols for the rheumatoid hand.
  • To emphasize the role of occupational therapy alongside medical and surgical RA treatments.

Main Methods:

  • Review of existing clinical data on occupational therapy interventions for rheumatoid arthritis of the hand.
  • Analysis of the synergistic effects of occupational therapy with biological disease-modifying antirheumatic drugs and surgical regimens.
  • Evaluation of the impact of postoperative therapeutic rehabilitation protocols on RA patients.

Main Results:

  • Occupational therapy contributes significantly to health-related quality of life outcomes in RA patients.
  • Therapeutic rehabilitation protocols optimize surgical outcomes for RA patients.
  • Existing data support the role of occupational therapy in RA management.

Conclusions:

  • Occupational therapy is a vital component in the multidisciplinary management of rheumatoid arthritis affecting the hand.
  • Further research comparing specific occupational therapy protocols is warranted to enhance functional recovery in the rheumatoid hand.
  • Optimizing hand function through targeted occupational therapy can improve overall patient outcomes in RA.