Finding the Surgery Complication – Podiatry Practice Connection

Finding the Surgery Complication – Podiatry Practice Connection


Hey I’m Philip Calaj and I’m going to
be answering a question from the BoardVitals podiatry question Bank. So question 1. What is the most common complication of surgery performed on
patients with rheumatoid arthritis? A infection B delayed wound healing C
delayed Union D vasculitis and E tendon pathology. So this question is under the
anesthesia and surgery subject and it focuses on a rheumatoid patient.
Rheumatoid arthritis is an autoimmune disease caused by an underlying chronic
inflammation disorder so the two main things we need to consider when we read
this question it’s the patient the disorder and what medications they
possibly could be on so rheumatoid arthritis patients nearly are always
prescribed DMARDs which stands for disease modifying antirheumatic drugs
these drugs are immunosuppressive which blocks the body’s natural inflammatory
process now why this is important with surgery it’s simple anytime the body is
required to heal or fight an infection the body must undergo three stages of
wound healing and as life would have it the first stage is the inflammatory
process which lasts about four to six days so between options A and B those
are likely complications for a rheumatoid arthritis patient but since
they are possibly taking DMARDs they will be anti-inflammatory which will
delay the wound healing process so B would be the correct answer once again I’m Phil and I hope you’ll
join me for another question

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