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Skel Rad A Final Material > Arthritic Disorders- Symptoms and Specifics > Flashcards

Arthritic Disorders- Symptoms and Specifics Flashcards

1
Q

What are the 2 Categories of ARTHRITIS?

A

MonoArthritis

PolyArthritis

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2
Q

Types of Monoarthritis

A 
Traumatic
Infectious
Crystal Induces
Rheumatoid
Degenerative
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3
Q

Types of Polyarthritis

A

Inflammatory Joint Disease
Degenerative Joint Disease
Metabolic Deposition Disease

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4
Q

Description of Inflammatory Joint Disease

A

Painful soft tissue swelling of joints

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5
Q

Rheumatoid Types of Inflammatory Joint Disease

A

RA
Lupus
Etc

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6
Q

Rheumatoid Variants

A

AS, Reiters, PA, EA

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7
Q

Description of Degenerative Joint Disease

A

Bony Enlargement of Joints

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8
Q

Types of DJD?

A

Primary Osteoarthritis

Secondary Osteoarthritis

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9
Q

Description of Metabolic Deposition Disease

A

Lumpy Bumpy Joint Disease

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10
Q

Types of Metabolic Deposition Disease

A

Gout
Hyperlipidemia
Etc

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11
Q

What does HADD stand for?

What is HADD?

A

HydroxyApatite Deposition Disease

-Calcifying Tendinitis and Bursitis

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12
Q

Who does HADD affect ?

A

40-70 yoa

Equal Male & Female occurrence

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13
Q

MC site for HADD?

A

Shoulder

Followed by Hip, Upper C-Spine

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14
Q

HADD usually affects only ____ joints such as:

A

Single

Shoulder, Elbow, Wrist, Fingers, Hip, Knee, Foot, Spine

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15
Q

Most definitive Dx for HADD?

A

X-ray

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16
Q

HADD Etiology?

A

Unknown

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17
Q

What is Tendon Calcification?

Where and what does is look like?

A

Local Crystal Deposition
At insertion site, not blending into the cortex of the adjacent bone
Ovoid Calcifications, Sharp Margins

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18
Q

What helps treat Tendon Calcification?

A

Ultrasound Treatment

Active Mobilization

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19
Q

MC site for Bursal Calcification

A

Subacromial
Subdeltoid
Ischial

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20
Q

Bursal vs Tendon Calcification

A

Impossible to differentiate between the two Radiografically

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21
Q

CPPD: What does it stand for?

What is it?

A

Calcium PyroPhosphate Dihydrate

Crystal Deposition Disease

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22
Q

What is the AKA for CPPD?

A

Pseudo-Gout

Because it produces gout-like symptoms

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23
Q

3 Types of CPPD?

A

1) Chondrocalcinosis
2) CPPD Arthropathy
3) Pseudo Gout Syndrome

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24
Q

Who does CPPD affect?

A

Those over 30 yoa

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25
What 2 types of Cartilage does CPPD affect?
Hyaline Type CPPD | Fibrous Type CPPD
26
Where can you find Hyaline Type? Fibrous Type? | Most common joint?
Hyaline "Hugs" the bone Fibrous is found at the edges of joints In & Around Knee Joint, followed by Wrist Joint
27
Radiographic Features For: | Chondrocalcinosis - Hyaline Cartilage
Thin, Linear, Parallel to articular Cortex
28
MC site for Hyaline Chondrocalcinosis?
Wrist, Knee, Elbow, Hip, Shoulder
29
Radiographic Features For: | Chondrocalcinosis- Fibrocartilage
Thick, Irregular, Shaggy poorly defined margin
30
MC site for Fibrocartilage Chondrocalcinosis?
Periphery of Knee Meniscus Triangular fibrocartilage of wrist Symphysis Pubis Annulus Fibrosus
31
What does EOA Stand for? What is it?
Erosive OsteoArthritis | An Inflammatory type of OA
32
EOA MC site?
DIP Joints- Episodic & Acute Inflammation Bilateral Symmetric
33
Who does EOA affect?
Middle Aged Females
34
What can develop with >12 of EOA?
Rheumatoid Arthritis
35
Symptoms of EOA
``` Pain Edema Redness Nodules Eventual Decrease of ROM ```
36
Ragiographic EOA
Found in DIP joints | Central Erosions - aka - Gull Wing Sign
37
Differential Diagnosis of EOA
Rheumatoid Arthritis Psoriatic Arthritis Non-Inflammatory DJD
38
RA vs EOA?
RA rarely involves DIP joints, and patient has positive lab results
39
Psoriatic Arthritis vs EOA?
Marginal Erosions with adjacent periostitis
40
Non-inflammatory DJD vs EOA?
No Erosions, otherwise Identical to EOA
41
Rheumatoid Arthritis
Connective Tissue Disorder Etiology Unknown Attacks Synovial Tissue
42
RA Affects?
20-60 yoa Females 3:1 btw 20-40 yoa Equal M & F in patients over 40 yoa
43
RA Signs & Symptoms
Pain, Tenderness, Stiffness, Swelling | Jelling Phenomenon
44
RA MC site?
Peripheral Joints Bilateral and Symmetrical Progresses Proximally
45
RA Physical Findings
Firm, Non-tender Rheumatoid Nodules 5mm-3cm in size Accumulation of Inflammatory Cells Found in 20% of patients Found on Extensor Surfaces
46
Haygarth's Nodes
Found in RA Soft Tissue Swelling MCP Joints affected
47
Lab Findings of RA
Increased ESR Increased C-reactive Protein Presence of Rheumatoid Factor ( RF is NOT specific for RA)
48
3 Must-Haves for Felty's Syndrome
1) Rheumatoid Arthiritis 2) Leukopenia 3) Splenomegaly
49
Poor RA Prognosis with:
``` Presence of SubQ nodules High Levels of Rheumatoid Factor Exacerbation of Disease for more than 1 Year Onset before 30 yoa Extra-Articular Manifestations ```
50
RA Pathology (1/6)
Acute Synovitis with Edema Periarticular Edema Juxta-Articular Hypermia
51
RA Pathology (2/6)
Synovial Proliferation forms Pannus | Pannus: Vascular Tissue spreads over intra-articular surface of bone & cartilage
52
RA Pathology (3/6)
Marginal Erosions at Bare Area- where intra-articular bone in direct contact with synovium
53
RA Pathology (4/6)
Cyst-Like Cavities- Pannus enters marrow spaces of subchondral bone
54
RA Pathology (5/6)
Hyaline cartilage erodes and narrows
55
RA Pathology (6/6)
Joint fills with pannus-> progressive Fibrous Ankylosis
56
Radiographic Findings of RA
``` Bilateral & Symmetrical Periarticular Soft Tissue Swelling Juxta-Articular Osteoporosis Uniform Loss of Joint Space Marginal Erosions (Rat Bite Erosions) Deformity Large Pseudo-Cysts Juxta-Articular Periostitis Ankylosis ```
57
MC Sites
``` Hand Wrist Foot Knee Hip Cervical Spine ```
58
RA in the Hands
DIPs *NOT* involved!!!! | Irreversible changes within 3-6 Months
59
MC site for Marginal Erosions?
Radial Margins of 2 & 3 Metacarpal Heads | Radial Margins of Distal & Proximal ends of Proximal Phalanges
60
Types of Deformities found with RA- Hands?
``` Boutonniere Swan-Neck Digital Ulnar Deviation Zig-Zag Deformity Carpal Deviation ```

Skel Rad A Final Material (6 decks)

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