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critical thinking essay examples Occurs equally in girls and viagra expired safe boys. There are characteristic fever spikes twice daily (greater than 38. 3°c or 101°f) and the presence of a pale, pink, transient rash. The peak onset is between ages 1 and 6 years. 2. Polyarticular (approximately 40% of cases). More likely to affect girls than boys (3:1). Arthritis is present in five or more joints. The disorder resembles adult ra more than the other types of jia. 3. Oligoarticular (about 50% of cases). More likely to affect girls than boys (5:1). Uveitis is more likely to be present. Arthritis is present in four or fewer joints. The peak onset is between ages 1 and 3 years. Treatment desired outcomes the goals of treatment in ra are to. (a) reduce or eliminate pain, (b) protect articular structures, (c) control systemic complications, (d) prevent loss of joint function, and (e) improve or maintain quality of life. The goals for jia are the same, with •• pulmonary. Interstitial fibrosis, pulmonary nodules, pleuritis, pleural effusions •• vasculitis. Ischemic ulcers, skin lesions, leukocytoclastic vasculitis •• neurologic. Peripheral neuropathy, felty syndrome •• hematologic. Anemia, thrombocytosis laboratory tests •• positive rheumatoid factor (the test is negative in up to 30% of patients) •• elevated esr (westergren esr. Greater than 20 mm/hour in men. Greater than 30 mm/hour in women) •• elevated c-reactive protein (crp) (greater than 0. 7 mg/dl or 7 mg/l) •• complete blood count. Slight elevation in wbc count with a normal differential.

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