Rheumatoid Arthritis

chiropractor

Need step 4 and 5 completed.

step 4- Upload your final version of your group Informed Consent Form in the group assignments. Be sure to cross-reference the rubric (Link below) prior to submitting your presentation to ensure you’ve sufficiently addressed all the required sections. (attached)

step 5- Download the ACME Requisition Form found under IPP Group Name (Left-hand column) > IPP Diagnostic Orders Form (under Group Assignments). You can fill the form out electronically OR print, fill out by hand, scan and upload as a PDF or image file. Be sure to cross-reference the rubric (See link below) prior to submitting your form to ensure you’ve sufficiently addressed all the required sections. (attached below)

Your patient is a 43 year old woman who presents with bilateral hand and wrist pain and stiffness. There is visible swelling about the metacarpophalangeal joints and wrists bilaterally, with some swelling also noted around the proximal interphalangeal joints. She also mentions persistent hip and knee pain, but states she is “not sure if that is related”. She saw another doctor about 5 years ago, who told her she is RF+ (RF Positive) and may develop arthritis.

Clinical Diagnosis:

Rheumatoid Arthritis

Step 1 attached as pdf.

step 2 already complete but info you might need for steps 5 and 6.

1. my top choice of imaging mobility: is MRI for Rheumatoid Arthritis (RA). MRI are able to detect early synovitis, bone marrow edema, joint effusions, early erosive changes. Since RA is an inflammatory arthropathy that can cause irreversible joint damage MRI allow for early detection before radiographic changes become visible on plain film. Which makes this valuable in early detection.

2. American College of Radiology recommend X-ray (conventional radiology) then MRI. Xray is useful for baseline structural evaluations while the MRI as stated above is good for early detection such as inflammatory and soft tissue changes.

3. The ACR strengthened my choice. I do understand why each is beneficial. While MRI is my top choice due to the early detection and sensitivity. Xray should be the first choice due to cost effective as a baseline study. However if patient has early signs of RA, symptoms are present and do not show up on Xray, and have active inflammation then MRI would be appropriate. Overall it just clarified which imaging should be done in which steps to take.

step 3 is not mine – powerpoint presentation of step 1 and 2.