Transcript Musculoskeletal System

Inflammatory Disorders
Inflammation of joints
Include
Rheumatoid Arthritis
Ankylosing spondylitis
Osteomyelitis
Bursitis
Polymyositis
Rheumatoid arthritis
Etiology/pathophysiology
Most serious form of arthritis
Chronic, systemic disease
Most common in women of childbearing age
Autoimmune disorder, but may also be genetic
May affect lungs, heart, blood vessels, muscles, eyes,
and skin
Chronic inflammation of the synovial membrane of the
diarthrodial joints (movable)
Rheumatoid arthritis (continued)
Clinical manifestations/assessment
Rheumatoid arthritis of hands.
Rheumatoid arthritis (continued)
Diagnostic tests
Laboratory Tests
Rheumatoid arthritis (continued)
Medical management/nursing interventions
Ankylosing spondylitis
Etiology/pathophysiology
Clinical manifestations/assessment
Ankylosing spondylitis (continued)
Diagnostic tests
Medical management/nursing interventions
Osteomeylitis
Inflammation of bone and bone marrow
Most common cause
Also from infected teeth, tonsils, or URI
Common organisms
Bursitis
Inflammation of Bursa (fluid filled sac
allowing joint movement)
Usually from trauma or repetitious
movement
Appears calcified on X-ray
Treatment
Polymyositis
Inflammation of striated/skeletal muscle
Etiology unknown (possibly autoimmune)
Can affect heart, GI tract, and lungs
Symptoms
Medical-Surgical Management
Pharmacological treatment is symptomaticPrednisone, may be long term
Diet, may need frequent small meals and
antacids for reflux
Activity
Nursing Process
Assessment
Subjective Data re: joint pain, appetite,
dyspnea, GI symptoms
Objective Data re: ADL’s, respiratory difficulty,
palpated joint tenderness
Medical-Surgical Management
Bedrest with sandbags to immobilize bone
Antibiotics given early to prevent bone
abcess
Abcess very difficult to heal, may require
incision to drain
Very painful
Tendency for abcess to recur
Surgical
Pharmacological
Diet
Activity