Sites of blood pressure control and actions of the major classes of antihypertensive drugs. (From Panus PC, Katzung B, Jobst E, Tinsley S, Masters S, Trevor A. Pharmacology for the Physical Therapist. New York, NY: McGraw-Hill; 2009.)
Treatment algorithm for Sjögren syndrome. (From Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th ed. New York, NY: McGraw-Hill; 2012.)
PREFERRED PRACTICE PATTERNS1
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissues Dysfunction
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation
7B: Impaired Integumentary Integrity Associated with Superficial Skin Involvement
A 40-year-old female is referred to PT with onset of pain in both hands and wrists. Her pain started 2 weeks before when she was preparing food for a large house party and doing a lot of “chopping and slicing” with a large chef’s knife. Her family history includes a mother with rheumatoid arthritis (RA) and father with OA. She describes “self diagnosed” wrist tendinitis in the past for which she used wrist splints for short periods of time and took NSAIDs until the pain resolved. The tendinitis was episodic and often followed the hours at the computer (she is a full-time receptionist). She recently had pink eye that has resolved with medication. She also related that she complained to her dentist several years ago that her mouth was always dry and he recommended hard, sugar free sucking candies as well as staying well hydrated. X-rays of her hands taken 1 week prior were negative. At this time she is taking NSAIDs, but they are not helping so her physician ...
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