2. Introduction
• Rheumatic arthritis (RA)
chronic inflammatory disorder
attacks the joints producing an inflammatory
synovitis
• The first known case - 4500 BC
• Rheumatoid Arthritis - coined by British
rheumatologist Dr. Alfred Baring Garrod in
1859
3. • RA - inflammation in the
1. Lungs
2. pericardium,
3. pleura,
4. sclera
• Chronic Autoimmune disease
• pain intensifies
• Progressive deterioration of joint structures
leads to deformations and disability
4. CASE STUDY
• Mrs. Raveena Gurung
• 51 years old female
• Mother - 3 daughters
• Works - operations administrator at tech
company
5. CLINICAL SIGNS AND SYMPTOMS
During flare up’s
• Severe pain
• Swelling
• Unable to complete daily activities
Signs & Symptoms
• Slight pain - wrists during normal activities
• More stiff in morning
6. 3 years back:
Attended complimentary and alternative
medicine (CAM) therapy with failure
Morning symptoms -
• Inability to close her hands
• Malaise and fatigue
• “feeling like a 90 year old woman”