Arthritis Flashcards
What are common arthritic conditions?
Osteoarthritis, Inflammatory (RA), Non-autoimmune (Gout).
How to diagnose RA?
Joint pain, stiffness, swelling for 6+ weeks, swelling of 3+ joints, morning stiffness of 30+ min. Symmetrical symptoms, rheumatoid nodules.
Blood test to look at rheumatoid factors (antibodies).
How to diagnose OA?
Age of muscle, joints, joint injury. Overuse of muscles.
Physical examination x-rays, MRIs.
What is an OA?
Osteoarthritis, most common, whole joint leads to breakdown of joint cartilage. Body’s failed attempt to repair damaged joint tissues.
What are the causes of OA?
Cartilage covering breaks down causing pain, swelling. can develop spurs (bits of bone).
What are treatments for OA?
Risk management, pain relief. Exercise + weight management, medications (acetaminophen, NSAIDS), replacement surgery.
What are precautions following hip and knee replacements?
NO bending hip over 90 degrees, crossing legs, twisting, kneeling for long periods of time.
What are precautions following shoulder replacements?
Sling remain on for sleeping, walking; off for dressing, bathing. No arm activites.
What is an inflammatory arthritis?
Group of condition whereby body’s defense attack tissues of joints. Stiffness, pain, joint damage irreversible, systemic.
What is RA?
Inflammatory disease affecting multiple joints, autoimmune, swelling of joins, usually symmetrical. Can affect cardiovascular or respiratory system.
What are common issues in RA?
Rheumatoid nodules, swan-neck deformity, boutonniere deformity, ulnar deviation of MCP joint.
Ulnar site is early inflammation site. Proximal row of carpal bone ulnar deviates. Distal row of carpal bone radially deviates.
What are the three progressions of RA?
Monocyclic: 20% one episode ending within 2-5 years.
Polycyclic: 75% fluctuating over course of years.
Progressive: 5% rapid increase in severity.
What is the swan neck deformity?
PIP hyperextension, DIP flexion, reciprocal of MCP flexion.
What is the Boutonniere deformity?
PIP flexed, DIP hyperextension. Fibrous tissue, joint deform.
