Arthropathies (Irene Gold Handout) Flashcards
What two Arthropathies are classified as Inflammatory?
Sero Positive Arthropathies
Sero Negative Arthropathies
What gender and age are most common for Sero Positive Arthropathies?
Females
20-40 years of Age
What Labs are the four positive in Sero Positive Arthropathies?
RA Latex
FANA (ANA)
Erythrocyte Sedimentation Rate (ESR)
C-Reactive Protein (CPR)
What six conditions are Sero Positive Arthropathies?
- Rheumatoid Arthritis (RA)
a.Sjogren’s - Systemic Lupus Erythematous (SLE)
a.LE Prep Leukopenia
b.Thrombocytopenia
Scleroderma
CREST Syndrome
What age and gender are most common to have Sero Negative Arthropathies?
Males
15-35
What three Labs are positive in Sero Negative Arthropathies?
HLA B27
Erythrocyte Sedimentation Rate (ESR)
C-Reactive Protein (CPR)
What four conditions are Sero Negative Arthropathies?
Psoriatic Arthritis
Enteropathic Arthritis
Ankylosing Spondylitis
Reactive Arthritis (Reiter’s)
What condition is an Inflammatory Arthropathies but not categorized as Sero Positive or Sero Negative?
Osteitis Condensans Ilia (OCI) AKA Osteitis Triangularis
What is another name for Non-Inflammatory Arthropathies?
Degenerative Arthropathies
What four conditions are Non-Inflammatory Arthropathies?
Degenerative Joint Disease (AKA Osteoarthritis)
Diffuse Idiopathic Skeletal Hyperostosis (DISH)
Neurogenic Arthropathy (AKA Charcot’s Joint)
Synoviochondrometaplasia
What is another name for Degenerative Joint Disease?
Osteoarthritis
In 30% of the Diabetic population what other Non-Inflammatory condition is present?
Diffuse Idiopathic Skeletal Hyperostosis (DISH)
What is another name for a Neurological Arthropathy?
Charcot’s Joint
In what joint does Synoviochondrometaplasia most commonly affect?
Knee
What are the three conditions that are Metabolic Arthropathies?
- Gout
- Calcium Pyrophosphate Deposition Disease (CPPD) (AKA Pseudogout)
- Hydroxyapatite Deposition Disease (HADD)
What is another name for Calcium Pyrophosphate Deposition Disease (CPPD)?
Pseudogout
What joint is most commonly affected in Pseudogout?
Knee
What is the most commonly effected joint in Hydroxyapatite Deposition Disease (HADD)?
Shoulder
What will the four clinical presentations be of a patient that has Septic Arthropathies?
Fever
Chills
Possible history of Trauma
Warm tender swollen joint
What labs would be positive in a patient with Septic Arthropathies?
White Blood Cell (WBC) Count
Who do you refer all patients with Arthropathies, other than Degenerative Arthropathies to?
Rheumatologist
In a patient with any Arthropathies what segments may be adjusted?
Any uninvolved segments, to patient tolerance
If a patient has and Inflammatory Arthropathy what is expected of the chiropractor prior to adjusting?
Cervical Flexion and Extension films are taken
What is the purpose of Flexion and Extension films?
To check the integrity/stability of the Atlantodental Interspace (ADI)
Who do you refer a patient with serve Degenerative Joint Disease (DJD) to?
Orthopedic Surgeon
What two supplements are given to a patient with Degenerative Joint Disease (DJD)?
Glucosamine
Chondroitin
