CASE 1: T.W, a previously health 42 year old, 60 kg woman, F that persists for several hours, fatigue, and generaliz months. In addition, she reports that her eYes SEem t

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Chapter13: Nutrition Through The Life Span: Later Adulthood
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months. In addition, she reports that her eyes seem red most of the time and are unusually dry.
T.W, a previously health 42 year old, 60 kg woman, has been suffering from morning stiffness
37
CASE 1:
that persists for several hours, fatigue, and generalized muscle and joint pain for the past
Her symptoms have been much more worse during the past month and a half, causing her to
imit her physical activities somewhat, She also can no longer wear her wedding ring because
of swelling of her hand. Physical examination reveals bilaterally symmetrical swelling,
tenderness, and warmth of metacarpophalangeal (MCP) and proximal interphalangeal (PIP)
joints of the hands. Relevant laboratory findings include the following:
ESR: 52 mm/hour
Hb: 10.6 g/dL
RF- Positive
Tests for antinuclear antibodies (ANA) and tuberculin sensitivity are negative. Her uric acid
level is normal. X-ray findings show soft tissue swelling, narrowing of joint spaces, and
marginal erosions in second and third MCP and PIP joints bilaterally with no evidence of
calcification. Other routine laboratory data and physical findings are normal.
What signs and symptoms of RA are manifested by TW?
a.
Transcribed Image Text:months. In addition, she reports that her eyes seem red most of the time and are unusually dry. T.W, a previously health 42 year old, 60 kg woman, has been suffering from morning stiffness 37 CASE 1: that persists for several hours, fatigue, and generalized muscle and joint pain for the past Her symptoms have been much more worse during the past month and a half, causing her to imit her physical activities somewhat, She also can no longer wear her wedding ring because of swelling of her hand. Physical examination reveals bilaterally symmetrical swelling, tenderness, and warmth of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints of the hands. Relevant laboratory findings include the following: ESR: 52 mm/hour Hb: 10.6 g/dL RF- Positive Tests for antinuclear antibodies (ANA) and tuberculin sensitivity are negative. Her uric acid level is normal. X-ray findings show soft tissue swelling, narrowing of joint spaces, and marginal erosions in second and third MCP and PIP joints bilaterally with no evidence of calcification. Other routine laboratory data and physical findings are normal. What signs and symptoms of RA are manifested by TW? a.
b. Which laboratory values in TW could be used to monitor her RA disease progression?
Transcribed Image Text:b. Which laboratory values in TW could be used to monitor her RA disease progression?
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