Arthritis 2 - OA Flashcards

1
Q

epi of OA

A

75% of all arth

  • knee most common leadin to dis
  • on the rise
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2
Q

3 reasons OA on the rise

A
  1. obesity
  2. less activity
  3. incr. age of pop
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3
Q

2 general patterns of OA

A
  1. localized
    - hand
    - knee
    - hip
  2. generalized
    - 3+ joints
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4
Q

OA on the spine?

A

common

  • in facet joint
  • degen disc disease in lumbar spine
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5
Q

what is OA not

A
  • inevitable part of aging

- degenerative disease

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6
Q

what is OA

A

progressive disease of synovial joints from failed repairs of damage reulting from stresses on the joint

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7
Q

2 general patterns of pathogenesis

A
  1. abnormal stress on normal physiology

2. normal stress on abnormal physiology

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8
Q

what are age related joint diseases

A
  • thinning cart
  • less responsive to growth factors
  • muscle weakness
  • slower reaction times
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9
Q

what is sex diff

A

F 2x as M

  • hormones
  • body shape
  • genes
  • social?
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10
Q

what does genes determine

A

50% of hip, hand, general OA

less for knee

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11
Q

how does joint load impact

A

normal joint loading is okay, but when becomes abnormal somehow, then get the problems

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12
Q

6 factors that neg. affect the joint load

A
  1. alignment (mal)
  2. laxity of knee joint
  3. nerve damage
  4. joint injury
  5. joint deformity
  6. neuromusc. function
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13
Q

what is obesity related to

A

knee and hand

  • less hip
  • stronger relate for women
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14
Q

3 possible cont. of obesity

A
  1. malalignment
  2. overloading
  3. cytokines
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15
Q

3 ways to make a diagnosis of OA

A
  1. imaging
  2. Sx
  3. exam
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16
Q

what is seen on x-rays

A
  1. irreg. thickening of subchondral bone
  2. thickening and distortion of capsule
  3. sysnovitis
  4. osteophytes
17
Q

limits of x-ray

A

detects destruction/loss by inference

- JSN occurs in late phase

18
Q

issues with MRI

A

very good, but $$$

19
Q

3 possible things that are helpful on MRI

A

meniscal tears don’t help

  • full thickness cart. defects
  • bone marrow lesions
  • subchondral cortical bone defects
20
Q

4 OA Sx

A

pain
fatigue
stiffness with rest
functional limitations

21
Q

what is important about pain quality

A

neuropathic pain may be a sign of central sensitization

22
Q

OA Sx cascade

A

pain>poor sleep>fatique>depression>worse pain

23
Q

Phx findings in OA

A
  • joint line tenderness
  • bone enlargements
  • crepitus
  • reduced ROM
  • inflamm
24
Q

4 issues to getting effective treatments

A
  • societal beleifs
  • phys. awareness
  • attitudes about pain killers
  • co-existant medical probs
25
Q

2 keys to prevention

A
  1. prevent joint injuries

2. healthy weight mgmt

26
Q

what is treatment ladder from least to most invasive/effective

A
  1. TENS, chondroitin, capsaicin
  2. exercise, weight mgmt, insoles, aceto
  3. topical NSAIDs, joint injections
  4. systemic NSAIDS, opioids
  5. joint replacement