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M4 Discussion GI & Musculoskeletal

M4 Discussion GI & Musculoskeletal

Both result in stiff, painful joints. Both are arthritis types. Aside from that, there is little in typical between rheumatoid arthritis and osteoarthritis.

Their differences begin with the causes of their differences. Osteoarthritis typically develops later in life, after years of mechanical wear and tear on the cartilage that lines and cushions your joints. Rheumatoid arthritis is an autoimmune disease that can strike at any age. In other words, your immune system attacks your joints.

Dr Michael Raab differentiates between osteoarthritis and rheumatoid arthritis.

Play the video or read the video transcript by clicking the play button.

Here are some additional essential distinctions between osteoarthritis and rheumatoid arthritis.

The Beginning of the Disease
Osteoarthritis develops gradually over time as the joint cartilage wears away. Your joint bones will eventually rub against each other.

In contrast, rheumatoid arthritis pain and stiffness can develop and worsen over several weeks or months. Joint pain isn’t always the first sign of rheumatoid arthritis. It could also start with “flu-like” symptoms like fatigue, fever, weakness, and minor joint aches.
M4 Discussion GI & Musculoskeletal
How Many People Are Affected?
The most common type of arthritis is osteoarthritis. It affects 27 million people in the United States. Rheumatoid arthritis (RA) affects roughly one-tenth of the population.
RA typically strikes women between the ages of 30 and 60. It usually happens later in men.

P-W-WMN02718-Osteo-Rheumatoid-Arthritis-sm Joint Stiffness

Mild joint stiffness is standard in osteoarthritis in the morning and after an hour or more of inactivity during the day. The stiffness and pain improve as the joints are used and moved more, even after just a few minutes.

Morning stiffness from rheumatoid arthritis, on the other hand, can last an hour or more. Prolonged morning joint stiffness is sometimes the first symptom of rheumatoid arthritis.

Symptoms of osteoarthritis include:

Joint discomfort. This can range from aching to burning to sharp pain. Osteoarthritis most commonly affects the knees, hips, spine, hands, and feet but can also affect other joints.
In the morning, there is stiffness. With movement, this disappears.
Muscle weakness in the area surrounding the affected joint. This is a common problem with the knee joint.
Joints that are deformed. Especially as arthritis progresses.
Reduced range of motion and decreased joint use. This happens as the severity of arthritis worsens.
Cracking and creaking sounds. The medical term for this is “crepitus.”
Symptoms of rheumatoid arthritis include:

Pain, stiffness, and swelling are all symptoms. The most commonly affected joints are the hands, feet, wrists, elbows, knees, and ankles.
Inflammation. Inflammation, if not controlled, can cause permanent and irreversible joint damage.
Nodules or bumps. These can form over the elbows and knuckles in some cases.
Rheumatoid arthritis is a systemic disease that affects the entire body and can affect both sides of the body at the same time. For example, while osteoarthritis may affect only the right or left knee, rheumatoid arthritis may affect both knees simultaneously.

Rheumatoid arthritis can affect the eyes, lungs, heart, nerves, and blood vessels in severe cases. RA can increase your risk of heart disease by 50%.

Osteoarthritis is diagnosed.

Your doctor will ask you about your symptoms while examining you to rule out other conditions:

How would you describe your suffering? Is it burning, aching, or stinging?
Do you suffer from morning joint stiffness? If this is the case, how long does the stiffness last?
Are your joints swollen?
To determine whether you have arthritis, your doctor will examine you for joint tenderness, swelling, and muscle weakness. Your doctor may also order X-rays for joint damage or blood tests to see if any other conditions are causing pain.

Diagnosis of Rheumatoid Arthritis

It is critical to diagnose rheumatoid arthritis as soon as possible. Permanent joint damage can occur within a year of being diagnosed with the disease.

Your doctor will perform a physical exam to look for signs of swelling or tenderness in your joints and inquire about your symptoms and medical history.

Your doctor may order blood tests, X-rays, and other tests.

Treatment for osteoarthritis

Treatment varies from person to person. Although osteoarthritis cannot be reversed, the symptoms can be managed. Your doctor will consult with you to determine the best course of action for you:

Pain reliever. Over-the-counter pain relievers such as acetaminophen and nonsteroidal anti-inflammatory drugs can treat mild pain (NSAIDs). If these do not help, your doctor may prescribe more vital medication. Some people benefit from shots of medicine in the joint.
Ice or heat. Heat may aid in the relaxation of the muscles surrounding the affected joint. After activity or exercise, ice can help relieve pain and swelling. Your doctor may prescribe a gel or cream to alleviate joint pain.
If you are overweight, you should lose weight. Weight loss reduces the strain on your joints. Every pound lost removes 3-5 pounds of pressure from the lower extremity joints.
Exercise. Muscle strength can reduce joint stress by offloading the joint itself. Movement is the most effective treatment for osteoarthritis. Consult your doctor about the best type of activity for you.
Surgery. If other treatment methods do not relieve pain in a joint, such as your hip or knee, your doctor may recommend joint replacement surgery.
Treatment for Rheumatoid Arthritis

Treatment includes medication, exercise, and lifestyle changes that must be maintained throughout one’s life. Seeking treatment as soon as possible can help control the condition and keep it from worsening.

Because many RA medications have side effects, you must see your doctor regularly.

If your pain and joint function worsen despite medication, exercise, and lifestyle changes, your doctor may recommend surgery, such as total hip or knee replacement.

To make your life easier if you have rheumatoid arthritis:

When you’re tired, take a break.
Use splints, canes, walkers, and other assistive devices. Unique kitchen gadgets or doorknobs, for example, can help protect your joints.
Consume a well-balanced diet.
Exercise regularly.
Keep a healthy weight.

GI & Musculoskeletal

This Discussion has 2 parts:

Make a comprehensive list of relevant information to gather when assessing abdominal pain.
How do you assess for masses in the abdomen and how you would document such findings?
Describe your findings on a previous patient that you have encountered where you have palpated a mass in the abdomen.
Define, Compare, and Contrast the following conditions:
Rheumatoid Arthritis
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources.

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