A patient with rheumatoid arthritis has been diagnosed with a secondary immune-associated neutropenia called Felty syndrome
The nurse has had to research this and found that she should be assessing this patient for which of the following manifestations of Felty syndrome. Select all that apply.
A)
Upper left quadrant pain on palpation
B)
An area of diminished breath sounds related to pneumonia
C)
Intermittent pain that radiates from the flank to the groin
D)
Swelling and pain in all joints when put through full range of motion
E)
Headache that worsens when exposed to bright lights
Ans:
A, B
Feedback:
Felty syndrome, a variant of rheumatoid arthritis (RA), is a triad of splenomegaly (upper left quad pain), recurrent pulmonary infections (diminished breath sounds), and neutropenia. Intermittent pain that radiates from the flank to the groin is usually associated with kidney stone pain. Swelling and pain in all joints when put through full range of motion are also associated with rheumatoid arthritis.
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