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Flashcards in Scleroerma Deck (25):
1

What are the two forms of scleroderma

localized (just affects skin)
systemic (can affect skin, jts, blood vessels, internal organs)

2

Who is scleroderma more common in

Women
African americans

3

What might scleroderma be associated with

occupational exposure to silica dust or polyvinyl chloride and meds

4

What is the etiology

unknown cause
certain cells produce too much collagen and is deposited in skin and internal organs
abnormal immune and inflammatory activity
not inherited
hormones

5

What is scleroderma

means hard skin
connective tissue disorder
stiffness and thickening of the skin

6

clinical manifestations of scleroderma

Raynauds
Edema
skin changes
Sclerodactyly
Telangiectasia
Arthritis and muscle weakness
Digestive problems
Heart,lung, and kidney problems

7

What is raynauds

blood flow decreases in response to cold temp or stress

8

Where does raynauds occur mostly

fingers

9

What does the skin do in raynauds

changes from white to blue to red
goes back to normal once skin warms

10

when does edema occur

morning
warm weather

11

Characteristics of edema

swollen toes and fingers
skin appears shiny
skin creases disappear
difficulty making a fist

12

What skin changes occur in sleroderma

Hardening and thinking of skin
loss of hair over the affected area
changes in skin color

13

What is sclerodactyly

hardness of the fingers

14

What does sclerodactyly cause

difficult with finger flexion and extension

15

What is telangiectasia

blood vessels become dilated and show through the skin

16

What is telangiectasia characterized by

small reddish spots

17

Where do you see telangiectasia

on fingers, palms, face, lips, tongue

18

What occurs in digestion

damage to the esophagus and intestines due to associated acid reflux
heartburn
difficult swallowing
bloating
nausea

19

What problems occur with the heart

irregular heart rhythms
heart failure

20

what problems occur with the lungs

fibrosis SOB
persistent cough
chest pain

21

problems with kidneys

kidney failure from severe hgh bp

22

Tx for scleroderma

Meds
stretching exercises
jt and skin protection

23

What OTs can do

jt and skin protection
edu on pain relief and
energy conservation

24

What to avoid in scleroderma

cold temp
strong detergents

25

Prognosis

favorable for just skin
faal for systemic