Arthritis Flashcards
Which arthitisis is more common in men? In women?
Gout- men
AS-men
RA- women
OA- women
How do the inflammatory arthitises compare and differ?
What structure is affected and how?
OA- wear and tear
-low grade inflamm
RA- autoimmune
-poly articular, symmetrical, migrating,
Lots of inflamm to jt
As- autoimmune, genetic
Gout-caused by uric acid deposits, chemical arthritis not autoimmune
What’s the first thing you do in gout op?
Undrape the foot. Don’t touch it.
Hydro- gout
Cool foot bath- only thing they can tolerate.
Bucket filled with cool water, slowly gonna put your foot into it, gonna leave for 5-10 min
What is a positioning modification you must consider for gout?
Foot must be higher than the knee or else it won’t drain for the treatment bc there is swelling and inflamm.
What are some compensatory features in gout?
-other leg
-back
Change in gait
Acute- gout means it is absolute CI in treatment.
T/F?
True.
AS: where do the changes occur?
-Where ligaments insert into home
Differentiate Btwn the two types of AS and name them.
-Marie strumpell type- most common, begins in SI and goes up spine
Bechterew- rare, starts in cervical region and goes downward
Which vertebra of c-spine are most commonly affected for each type of arthritis?
-
What are some factors found in the blood of ppl with arthritis?
RA-
AS- HLA-B27
Bamboo spine is a characteristic of which type of arthitis? What is it?
AS- result of inflammation of ligaments that make it look like a bamboo in an X-ray (ossification of annulus fibrosis)
Organs and tissues In other parts of body can be affected with arthitis. What are some of the organs and what is the name of the conditions?
- uveitis/ iritis (for eyes)
- liver, spleen, kidneys and adrenal cortex (amyloidosis- metabolic disorder caused by the production and depositing of a protein-polysaccharide complex resembling starch, structures become waxy and translucent)
Is constipation relevant to treat for AS?
Yes. It can be a result of the medication or from the vertebrae fusing.
What is the focus of remex for AS?
Back strengthening of extensor mm.
- standing up tall, shoulder retractors, glutes
What are factors that make RA diff?
RF factor in blood, exacerbation and remission, joints very swollen, flu like symptoms in flare up
What does DMARDs stand for and what is it used for?
Disease modifying anti-rheumatic drugs, fast acting medication
Differentiate Btwn the different types of deformities seen with RA?
Boutonnière deformity Swan neck deformity Bouchards nodes (inflamm of pips)
State the definition for gout and gouty arthritis:
Do they always go together?
Gout- high amounts of uric acid in blood (does not always develop into gouty arthritis)
Gouty arthitis- inflamm arthitis by mono sodium urate crystals in jts and tendons. Chemical cause.
What is one of the oldest recorded diseases in medical history?
Gout
Which gender is most likely to get gout?
Males
What is uric acid?
A metabolite; waste product from meats
2 reasons body may not be able to dispose of uric acid?
1) too much of the chemical- overindulgence of food or alcohol
2) kidney compromised
What are tophus/ tophi and which condition are they associated with?
Clusters of sodium urate combined with dead cells and enzymes. Look like punched out lesions on X-rays. Can be mistaken for rheumatoid nodules. Usually happen 10 yrs after first gout attack.
