Arthropathies (Irene Gold Handout)

Question 1

What two Arthropathies are classified as Inflammatory?

Answer 1

Sero Positive Arthropathies

Sero Negative Arthropathies

Question 2

What gender and age are most common for Sero Positive Arthropathies?

Answer 2

Females

20-40 years of Age

Question 3

What Labs are the four positive in Sero Positive Arthropathies?

Answer 3

RA Latex
FANA (ANA)
Erythrocyte Sedimentation Rate (ESR)
C-Reactive Protein (CPR)

Question 4

What six conditions are Sero Positive Arthropathies?

Answer 4

1. Rheumatoid Arthritis (RA)
   a.Sjogren’s
2. Systemic Lupus Erythematous (SLE)
   a.LE Prep Leukopenia
   b.Thrombocytopenia
   Scleroderma
   CREST Syndrome

Question 5

What age and gender are most common to have Sero Negative Arthropathies?

Answer 5

Males

15-35

Question 6

What three Labs are positive in Sero Negative Arthropathies?

Answer 6

HLA B27
Erythrocyte Sedimentation Rate (ESR)
C-Reactive Protein (CPR)

Question 7

What four conditions are Sero Negative Arthropathies?

Answer 7

Psoriatic Arthritis
Enteropathic Arthritis
Ankylosing Spondylitis
Reactive Arthritis (Reiter’s)

Question 8

What condition is an Inflammatory Arthropathies but not categorized as Sero Positive or Sero Negative?

Answer 8

Osteitis Condensans Ilia (OCI) AKA Osteitis Triangularis

Question 9

What is another name for Non-Inflammatory Arthropathies?

Answer 9

Degenerative Arthropathies

Question 10

What four conditions are Non-Inflammatory Arthropathies?

Answer 10

Degenerative Joint Disease (AKA Osteoarthritis)
Diffuse Idiopathic Skeletal Hyperostosis (DISH)
Neurogenic Arthropathy (AKA Charcot’s Joint)
Synoviochondrometaplasia

Question 11

What is another name for Degenerative Joint Disease?

Answer 11

Osteoarthritis

Question 12

In 30% of the Diabetic population what other Non-Inflammatory condition is present?

Answer 12

Diffuse Idiopathic Skeletal Hyperostosis (DISH)

Question 13

What is another name for a Neurological Arthropathy?

Answer 13

Charcot’s Joint

Question 14

In what joint does Synoviochondrometaplasia most commonly affect?

Answer 14

Knee

Question 15

What are the three conditions that are Metabolic Arthropathies?

Answer 15

1. Gout
2. Calcium Pyrophosphate Deposition Disease (CPPD) (AKA Pseudogout)
3. Hydroxyapatite Deposition Disease (HADD)

Question 16

What is another name for Calcium Pyrophosphate Deposition Disease (CPPD)?

Answer 16

Pseudogout

Question 17

What joint is most commonly affected in Pseudogout?

Answer 17

Knee

Question 18

What is the most commonly effected joint in Hydroxyapatite Deposition Disease (HADD)?

Answer 18

Shoulder

Question 19

What will the four clinical presentations be of a patient that has Septic Arthropathies?

Answer 19

Fever
Chills
Possible history of Trauma
Warm tender swollen joint

Question 20

What labs would be positive in a patient with Septic Arthropathies?

Answer 20

White Blood Cell (WBC) Count

Question 21

Who do you refer all patients with Arthropathies, other than Degenerative Arthropathies to?

Answer 21

Rheumatologist

Question 22

In a patient with any Arthropathies what segments may be adjusted?

Answer 22

Any uninvolved segments, to patient tolerance

Question 23

If a patient has and Inflammatory Arthropathy what is expected of the chiropractor prior to adjusting?

Answer 23

Cervical Flexion and Extension films are taken

Question 24

What is the purpose of Flexion and Extension films?

Answer 24

To check the integrity/stability of the Atlantodental Interspace (ADI)

Question 25

Who do you refer a patient with serve Degenerative Joint Disease (DJD) to?

Answer 25

Orthopedic Surgeon

Question 26

What two supplements are given to a patient with Degenerative Joint Disease (DJD)?

Answer 26

Glucosamine

Chondroitin