Reflex sympathetic dystrophy true is-
Ans. is 'a' i.e., Osteoporosis o RSD is a condition that features a group of typical symptoms, including pain (often burning type), tenderness, and swelling of an exterimity associated with varying degrees of sweating, warmth and/or shiny skin. It is an abnormal sympathetic response following trauma. This is commonly encountered in colie's fracture. However, RSD may be seen in other injuries also.Clinical manifestations of RSDo The onset of the RSD symptoms may be rapid or gradual. There are several stagesStage 1 (Acute) :- Burning pain, flushing, sweating, swelling, erythema, increased heat, hyperesthesia, spotty osteoporosis.Stage 2 (dystrophic) :- Cyanotic extremity, thickened & shiny skin, Increased sweating (hyperhidrosis), contracture; but diminished swelling & flushing. There is diffuse osteoporosis. Stage 3 (Atrophic) :- Stiffness of joints, contracture of the involved hand or foot. Pale & cool extremity, skin is dry, tight skin, homogenous osteoporosis with thinned cortices at the joint.Prognosiso The prognosis varies from person to person. Spontaneous remission from symptoms occur in certain people. Others can have unremitting and crippling, irreversible changes inspite of treatment.Treatment of RSDo Physical therapy :- gradually increasing exercise programo Psychotherapyo Sympatholytic drugs :- Phentolamine (a - blocker), Propranolol (p-blocker)o Sympathetic nerve block :- Stellate ganglion block for upper extremity RSD and L,- L. block for lower extremity,o Medications :- Topical analgesics, antidepressants, corticosteroids, opioids, o Surgical sympathectomy.
Osteoporosis
Increased skin temp
Common in athletes
Vasoconstriction
Metabolic Bone Disease