Arthritis CIS COCKS Flashcards
non pharm treatment
OMT, education,
surgery
exercise
why degeneration of articular cartilage in OA
damage from physical forces and chondrocytes react releasing degradative enzymes
defect in type II collagen
pharmacologic treatment of OA
acetaminophen NSAID topical NSAID capsaicin intraarticular glucocorticoids
OA radiographic findings
joint space narrow osteophytes and marginal lipping subchondral thickening bone cysts joint mice
common joints for OA
cervical spine lumbar spine 1st CMC PIP DIP hip knee 1st MTP
hemochromatosis targets what joints
MCP and wrists
where would you find sclerosing of a bone like femoral head
OA
heritable component of OA
particularly the hand and hip
primary OA
aging or idiotpathic
genetic: nodal OA
over 50 yrs old and male frequently assymptomatic cervical spine = dysphagia osteophytosis of spine paraspinous ligament calcifications "flowing wax" appearance on anterior vertebral bodies
diffuse idiotpathic skeletal hyperostosis (DISH)
other pharmacotherapy if symptomatic relief inadequate
intrarticular hyaluronic acid
platelet rich plasma
glucosamine and chondrotiin
opioid analgesics
secondary OA
disorders that damage jiont surfaces trauma surgery diabetes obesity