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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
Q

What 2 types of Cartilage does CPPD affect?

A

Hyaline Type CPPD

Fibrous Type CPPD

26
Q

Where can you find Hyaline Type? Fibrous Type?

Most common joint?

A

Hyaline “Hugs” the bone
Fibrous is found at the edges of joints
In & Around Knee Joint, followed by Wrist Joint

27
Q

Radiographic Features For:

Chondrocalcinosis - Hyaline Cartilage

A

Thin, Linear, Parallel to articular Cortex

28
Q

MC site for Hyaline Chondrocalcinosis?

A

Wrist, Knee, Elbow, Hip, Shoulder

29
Q

Radiographic Features For:

Chondrocalcinosis- Fibrocartilage

A

Thick, Irregular, Shaggy poorly defined margin

30
Q

MC site for Fibrocartilage Chondrocalcinosis?

A

Periphery of Knee Meniscus
Triangular fibrocartilage of wrist
Symphysis Pubis
Annulus Fibrosus

31
Q

What does EOA Stand for? What is it?

A

Erosive OsteoArthritis

An Inflammatory type of OA

32
Q

EOA MC site?

A

DIP Joints- Episodic & Acute Inflammation
Bilateral
Symmetric

33
Q

Who does EOA affect?

A

Middle Aged Females

34
Q

What can develop with >12 of EOA?

A

Rheumatoid Arthritis

35
Q

Symptoms of EOA

A 
Pain
Edema
Redness
Nodules
Eventual Decrease of ROM
36
Q

Ragiographic EOA

A

Found in DIP joints

Central Erosions - aka - Gull Wing Sign

37
Q

Differential Diagnosis of EOA

A

Rheumatoid Arthritis
Psoriatic Arthritis
Non-Inflammatory DJD

38
Q

RA vs EOA?

A

RA rarely involves DIP joints, and patient has positive lab results

39
Q

Psoriatic Arthritis vs EOA?

A

Marginal Erosions with adjacent periostitis

40
Q

Non-inflammatory DJD vs EOA?

A

No Erosions, otherwise Identical to EOA

41
Q

Rheumatoid Arthritis

A

Connective Tissue Disorder
Etiology Unknown
Attacks Synovial Tissue

42
Q

RA Affects?

A

20-60 yoa
Females 3:1 btw 20-40 yoa
Equal M & F in patients over 40 yoa

43
Q

RA Signs & Symptoms

A

Pain, Tenderness, Stiffness, Swelling

Jelling Phenomenon

44
Q

RA MC site?

A

Peripheral Joints
Bilateral and Symmetrical
Progresses Proximally

45
Q

RA Physical Findings

A

Firm, Non-tender Rheumatoid Nodules 5mm-3cm in size
Accumulation of Inflammatory Cells
Found in 20% of patients
Found on Extensor Surfaces

46
Q

Haygarth’s Nodes

A

Found in RA
Soft Tissue Swelling
MCP Joints affected

47
Q

Lab Findings of RA

A

Increased ESR
Increased C-reactive Protein
Presence of Rheumatoid Factor ( RF is NOT specific for RA)

48
Q

3 Must-Haves for Felty’s Syndrome

A

1) Rheumatoid Arthiritis
2) Leukopenia
3) Splenomegaly

49
Q

Poor RA Prognosis with:

A 
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
Q

RA Pathology (1/6)

A

Acute Synovitis with Edema
Periarticular Edema
Juxta-Articular Hypermia

51
Q

RA Pathology (2/6)

A

Synovial Proliferation forms Pannus

Pannus: Vascular Tissue spreads over intra-articular surface of bone & cartilage

52
Q

RA Pathology (3/6)

A

Marginal Erosions at Bare Area- where intra-articular bone in direct contact with synovium

53
Q

RA Pathology (4/6)

A

Cyst-Like Cavities- Pannus enters marrow spaces of subchondral bone

54
Q

RA Pathology (5/6)

A

Hyaline cartilage erodes and narrows

55
Q

RA Pathology (6/6)

A

Joint fills with pannus-> progressive Fibrous Ankylosis

56
Q

Radiographic Findings of RA

A 
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
Q

MC Sites

A 
Hand
Wrist
Foot
Knee
Hip
Cervical Spine
58
Q

RA in the Hands

A

DIPs NOT involved!!!!

Irreversible changes within 3-6 Months

59
Q

MC site for Marginal Erosions?

A

Radial Margins of 2 & 3 Metacarpal Heads

Radial Margins of Distal & Proximal ends of Proximal Phalanges

60
Q

Types of Deformities found with RA- Hands?

A 
Boutonniere 
Swan-Neck
Digital Ulnar Deviation
Zig-Zag Deformity
Carpal Deviation

Skel Rad A Final Material (6 decks)

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