therapy‚ plasma exchange (about 200 plasma exchange procedures)‚ rituximab‚ bortezomib. After failure of each of these agents‚ the physician has recommended Benlysta / belimumab‚ which is approved specifically for the treatment of autoantibody-positive lupus. This medication is described as an IgG1 monoclonal antibody that inhibits the activity of soluble cytokine B-lymphocyte stimulator.
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Kawonja Parker A&P II Lymphatic Disorders Case Study Lupus Patient: Nikia Thomas DOB: 12/21/1981 History: 27 year old black female‚ Height: 5’3 Weight: 125; has 3 boys ages 1‚ 3‚ and 7; 2 girls ages 5 and 10. Single mother and exotic dancer. Drinks alcohol often. Vitals: BP: 94/56‚ Temp: 101.4‚ RR: 28‚ HR: 118; Suffering from fatigue and server pain in hips. Sighs & Symptoms: Ms. Thomas came into the office today complaining of excrusionating pain in her hips. Patient stated that she often has pain
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Chapter 65: Nursing Management: Arthritis and Connective Tissue Diseases Test Bank MULTIPLE CHOICE 1. Which finding will the nurse expect when assessing a 58-year-old patient who has osteoarthritis (OA) of the knee? a. Discomfort with joint movement b. Heberden’s and Bouchard’s nodes c. Redness and swelling of the knee joint d. Stiffness that increases with movement ANS: A Initial symptoms of OA include pain with joint movement. Heberden’s nodules occur on the fingers. Redness of the joint is more
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deficiencies also increase the risk for disseminated gonococcal infection as a result of endometrial exposure of submucosal vessels to the infecting organisms. Disseminated gonococcal infection (Kerle KK et al 1992) is a rare complication‚ were a systemic spread of the bacteria in the bloodstream may cause‚ tenosynovitis‚ and dermatitis but can also present as perihepatitis.
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though the disease systemic lupus erthematosus (SLE) doesn’t have a test that specifically diagnosis this diseases‚ there are test that are run to help with understand contributing factors. The significance of a positive antinuclear antibody (ANA) titer is that 98% of people with systemic lupus test positive‚ even though it is not enough for a diagnosis of lupus (healthy individuals can test positive) it is a good indication along with other diagnostics test in the presence of lupus. The anti-double-stranded
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revealed that D.W. had a positive antinuclear antibody (ANA) titer‚ positive dsDNA (positive lupus erythematosus)‚ positive anti-Sm (antismooth muscle antibody)‚ elevated C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR)‚ and decreased C3 and C4 serum complement. Joint x-ray fi lms demonstrated joint swelling without joint erosion. D.W. was subsequently diagnosed with systemic lupus erythematosus (SLE). She was initially treated with sulindac 200 mg PO bid‚ prednisone 20 mg/day PO‚ bed
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TIAs are powerful forerunners of stroke. Approximately 10% of patients diagnosed as having a TIA have a stroke in the 90 days following the TIA diagnosis‚ with half of them having a stroke within 2 days of the TIA. TIAs are short-lived episodes of acute‚ focal‚ nonconvulsive neurologic dysfunction presumably caused by reversible ischemia to an area of the retina or brain. Onset of symptoms is sudden and often unprovoked‚ reaching maximum intensity almost immediately. Completed Stroke A completed
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Your 20-year-old patient is going to start a clinical desensitization program for his allergy to pollen. 1. Describe the pathophysiologic changes to the immune system when exposed to allergens. Allergy is “a hypersensitivity response against an environmental antigen (allergen); the most common are type 1 hypersensitivities (pollen‚ molds‚ fungi‚ certain foods‚ animal dander‚ dust). Others include Type II and Type III (rare but include antibiotics and soluble antigens produced by infectious agents)
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pancreatic acinar cells | Ovarian Failure / Infertility | p-450 | Pernicious Anemia | Parietal cells | Ulcerative Colitis | p-ANCA | Active chronic hepatitis Addison’s disease Autoimmune atrophic gastritis AIHA Dermatomyositis Discoid lupus erythematosus Goodpasture’s syndrome Hashimoto’s thyroiditis ITP IDDM MS Myasthenia gravis Pemphigus vulgaris Pernicious anemia Primary biliary cirrhosis Primary myxedema RA Scleroderma SLE Thyrotoxicosis Classification Organ-specific
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We have made an emergency travel to my country this July‚ which was too unexpected and cannot imagine the situation at this point. We lost our Mom (56). She had struggled with SLE (Systemic Lupus Erythematosus) since past 8 years. During this time period‚ she was regularly followed by the Doctors advice and medicine with acute care. But‚ everything effort went in vain this July. She was admitted in the hospital 25 days before this was happened. We were in regular touch about the health condition
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