Session 2 Why me

Get Started. It's Free
or sign up with your email address
Rocket clouds
Session 2 Why me by Mind Map: Session 2 Why me

1. Step 6

1.1. Review session 1

1.1.1. Summary of step 5 anatomy and function of synovial joints difference between gout, arthritis and SLE (presentations) diagnosis and clinical presentation of rheumatoid arthritis genetic aspects (familial?) mechanisms of chronic arthritis what kind of arthritis does present with these symptoms

1.2. Report new knowledge

2. Step 7

2.1. Inquiry plan and info gathering

2.1.1. History of presenting complain age? 45 what joints are involved? both hands, both knees morning stiffness more than one hour last 6 weeks associated symptoms her eyes are ok good weight no skin changes no fever no chest pain what relieves the symptoms? not associated with movement what's the impact of the desiese problems with daily activities how severe is the pain 8/10 pain is progressive no painkillers

2.1.2. Previous medical / surgical history no significant past medical history appendicitis

2.1.3. Drug history / allergy allergic to penicillin allergic to nuts

2.1.4. Family history mother was complaining of joint pain before she passed out her mother is diabetic her father has hypertension

2.1.5. Social / occupational history she have children recently started smoking 2 months ago recently started drinking alcohol every night she's menopause

2.1.6. Physical examination vital signs stable average weight she looks ill fine cervical spines decreased range of motions spleenomegaly pale eye hands ip reduced range on motions in the radiocarpal joing no muscle atrophy knees maybe there is effusion swelling

2.1.7. tests results hematology elevated

3. Step 8

3.1. Diagnostic decision

3.1.1. Rheumatoid arthritis

3.2. Mechanism

3.2.1. multy factorial genes envairomental factors like smoking

3.3. Presentation

3.3.1. morning steffness

3.3.2. symmetrical joints involvment

3.3.3. pain chronic

3.3.4. spleenomegaly

3.3.5. swelling

3.3.6. loss of function

3.3.7. inability to work as usual

3.4. Supporting data

3.4.1. family history

3.4.2. lab results

3.4.3. anti ccp antibodies

3.4.4. crp

3.4.5. elevated white cell count

3.4.6. radiographic changes