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:...

Please answer b,c,d

Extracted 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.


Extracted text: b. Which laboratory values TW could be used to monitor her RA disease progression? C. What nonpharmacologic therapy should be included in the management of TW's RA? TW will be treated with a DMARD and concurrent NSAID therapy initially to rapidly control inflammation and swelling. d. What is the role of NSAIDS in the treatment of TW's RA and which is the NSAID of choice?