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Inflammatory lesion
Courtesy by-
Davidson’s Principles and Practice Of Medicine.
Jain Hospital – Pandeypur, Varanasi-2, U.P. INDIA. PH - +91 542 3252795
Systemic Involvement Of RA
Systemic effect : Fever, weight loss, fatigue.
Musculoskeletal : Muscle wasting, tenosynovitis, bursitis
osteoporosis.
Hematological : Anaemia, thrombocytosis, eosinophilia.
Lymphatic system : Splenomegaly, Felty’s syndrome.
Eye : Episcleritis, scleritis, scleromalasia, keratoconjunctivitis sicca.
Cardiovascular : Pericarditis, myocarditis, endocarditis, digital arteritis
conductiondefects, coronary vasculitis, ulcers,
granulomatous arteritis, visceral arteritis,
Respiratory system : Nodules, pleural effusion, fibrosing alveolitis,
bronchiolitis, Caplan’s syndrome.
Nervous system : Cervical cord compression, amyloidosis,
compression neuropathies, peripheral neuropathy,
mononeuritis multiplex.
Jain Hospital – Pandeypur, Varanasi-2, U.P. INDIA. PH - +91 542 3252795
PAIN PATHWAY
Mechanical Thermal Chemical
Small Small
Myelinated Unmyelinated
Aδ fibers C fibers
sharp-fast pain
slow-chronic pain
velocity of 6-30 m/sec.
velocity of 0.5-2.0 m/sec.
Tissue Ischemia
Rise of Concentration Of
Lewis’s “P Factor”
Muscle Contraction
Pain
Jain Hospital – Pandeypur, Varanasi-2, U.P. INDIA. PH - +91 542 3252795
ETIOLOGY OF RHEUMATOID ARTHRITIS
ETIOLOGY
TOXINS
AGRAVATION &
OF FREE RADICALS
VATA
KAPHASTHANA
CHEST FOREHEAD
3. Pipasa (Thirst)
4. Aalasya (Fatigue)
5. Anga Gaurava (Heaviness In Body)
6. Jwara (Fever)
7. Burning & Redness If Pitta Is Associated
1. Pain
2. Swelling
3. Stiffness
4. Grip power
5. Walking time
6. Appetite
7. Fever
2.5
0.5
0
A1 A2 B1 B2
2.5
0.5
0
A1 A2 B1 B2
2.5
0.5
0
A1 A2 B1 B2
2.5
0.5
0
A1 A2 B1 B2
2.5
0.5
0
A1 A2 B1 B2
250
200
50
0
A1 A2 B1 B2
2.5
0.5
0
A1 A2 B1 B2
t = 2.33
Pain 0.4242 ± 0.5019 0.1795 ± 0.3888
p<0.05 S
t = 2.05
Swelling 0.4545 ± 0.6170 0.2051± 0.4091
p<0.05 S
t = 3.80
Stiffness 0.4555 ± 0.5056 0.1538 ± 0.3655
p<0.001 HS
t = 4.09
Grip Power 0.5758 ± 0.5019 0.1282 ± 0.3387
p<0.001 HS
t = 0.86
Walking Time 81.30 ± 49.49 72.12 ± 40.79
p>0.05
t = 3.80
Appetite 0.5455 ± 0.5056 0.1538 ± 0.3655
p<0.001 HS
t = 4.49
Fever 0.5758 ± 0.5019 0.1282 ± 0.3387
p<0.001 HS