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Manual Skills > Arthritis > Flashcards

Arthritis Flashcards

0
Q

Which arthitisis is more common in men? In women?

A

Gout- men
AS-men
RA- women
OA- women

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1
Q

How do the inflammatory arthitises compare and differ?

What structure is affected and how?

A

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

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2
Q

What’s the first thing you do in gout op?

A

Undrape the foot. Don’t touch it.

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3
Q

Hydro- gout

A

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

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4
Q

What is a positioning modification you must consider for gout?

A

Foot must be higher than the knee or else it won’t drain for the treatment bc there is swelling and inflamm.

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5
Q

What are some compensatory features in gout?

A

-other leg
-back
Change in gait

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6
Q

Acute- gout means it is absolute CI in treatment.

T/F?

A

True.

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7
Q

AS: where do the changes occur?

A

-Where ligaments insert into home

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8
Q

Differentiate Btwn the two types of AS and name them.

A

-Marie strumpell type- most common, begins in SI and goes up spine

Bechterew- rare, starts in cervical region and goes downward

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9
Q

Which vertebra of c-spine are most commonly affected for each type of arthritis?

A

-

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10
Q

What are some factors found in the blood of ppl with arthritis?

A

RA-

AS- HLA-B27

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11
Q

Bamboo spine is a characteristic of which type of arthitis? What is it?

A

AS- result of inflammation of ligaments that make it look like a bamboo in an X-ray (ossification of annulus fibrosis)

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12
Q

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?

A
  • 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)
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13
Q

Is constipation relevant to treat for AS?

A

Yes. It can be a result of the medication or from the vertebrae fusing.

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14
Q

What is the focus of remex for AS?

A

Back strengthening of extensor mm.

- standing up tall, shoulder retractors, glutes

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15
Q

What are factors that make RA diff?

A

RF factor in blood, exacerbation and remission, joints very swollen, flu like symptoms in flare up

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16
Q

What does DMARDs stand for and what is it used for?

A

Disease modifying anti-rheumatic drugs, fast acting medication

17
Q

Differentiate Btwn the different types of deformities seen with RA?

A 
Boutonnière deformity
Swan neck deformity 
Bouchards nodes (inflamm of pips)
18
Q

State the definition for gout and gouty arthritis:

Do they always go together?

A

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.

19
Q

What is one of the oldest recorded diseases in medical history?

A

Gout

20
Q

Which gender is most likely to get gout?

A

Males

21
Q

What is uric acid?

A

A metabolite; waste product from meats

22
Q

2 reasons body may not be able to dispose of uric acid?

A

1) too much of the chemical- overindulgence of food or alcohol
2) kidney compromised

23
Q

What are tophus/ tophi and which condition are they associated with?

A

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.

24
Q

What is the most common attack site of gout?

A

MT joint of digit 1

25
Q

What makes AS presentation in women unique?

A

Tends to present unilaterally

26
Q

What is the cause of AS?

A

Idiopathic. But 30 times more common with family history of it. Genetic markers.

27
Q

How does AS present in children and what is it commonly misdiagnosed as?

A

Starts in peripheral joints first. Misdiagnosed as juvenile RA.

28
Q

What culture most frequently seen with AS?

A

North American native

29
Q

AS is classified as a aero negative apondyloarthropathy because there is a presence of rheumatoid factor.

A

False. Rheumatoid factor is absent.

30
Q

Where is the most common site of inflamm for AS?

A

Ligaments, periosteum, synovium of Si and lumbar jts

31
Q

Which arthritis can mimic sciatica?

A

AS

32
Q

Fatigue, fever, anorexia. Weight loss and anemia are signs of which type of arthitis?

A

AS

33
Q

What conduction would present with question mark deformity on postural assessment? What is this posture?

A

AS- loss of lumbar lordosis, thoracic kyphosis, head forward carriage

34
Q

Define RA

A

Chronic systemic autoimmune disorder causing symmetrical erosive synovitis of the joints. Eyes lungs and cardiovascular system may also be affected

35
Q

Name the 7 clinical manifestations of RA; how many need to be present and for how long for a diagnosis?

A

At least 4 for minimum 6 weeks:

1) morning stiffness at least 1 hr
2) arthritis of 3 or more joints
3) arthritis of hand joints
4) symmetric arthritis
5) rheumatoid nodules
6) serum rheumatoid factor
7) radio graphic changes

36
Q

What are some of the causes of RA?

A
  • idiopathic
  • genetic marker HLA
  • rheumatoid factor present
  • bacterial or viral
  • emotional and physical trauma or stress exacerbate attacks
37
Q

What is the rheumatoid personality?

A

Psychological component: hostility and rigidity

Now seen as a response to chronic pain and fear, depression and anxiety

38
Q

Describe how the joints are affected in RA:

A

Bilateral, symmetrical, poly articular, migrating

39
Q

Rheumatoid nodules, ulnar deviation and bakers cyst are some possible symptoms of which arthritis condition?

A

RA

40
Q

Vasculitis, pericarditis, pleuritis, episcleritis and scleritis (nodules on whites of eye), sjorgens syndrome (pathologically dry eyes and mouth) are possible to which arthitis?

A

RA

Manual Skills (21 decks)

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