Degenerative & Crystal arthopathies

Question 1

osteoarthritis- Eti

Answer 1

Most common from of joint disease- women and obesity common risk factors. Degenerative bone disease with minimal inflammation

Question 2

osteoarthritis- Sx

Answer 2

Pain relief with rest, prominent bony enlargement of interphalangeal joints- heberden & bouchards nodules, brief morning stiffness,

Question 3

osteoarthritis- Dx

Answer 3

Non inflammatroy synovial fluid, Radiographs- narrowing, osteophyte formation

Question 4

osteoarthritis- Tx

Answer 4

Acetaminophen, joint aspiration & injection, diclofenac gel

Question 5

Gout- Eti

Answer 5

Metabolic disease, family hx, common in pacific islanders, men over 30

Question 6

Gout- Sx

Answer 6

Podagra- MTP joint, Tophi in cartilage, nocturnal onset, feet, knees and ankles

Question 7

Gout- Dx

Answer 7

Sodium urate crystals

Question 8

Gout- Tx

Answer 8

NSAIDs, Colchicine,

Question 9

Psuedogout- Eti

Answer 9

calcium pyrophosphate- individuals 60+

Question 10

Pseudogout- Sx

Answer 10

Acute, recurrent arthritis- common in knees and wrists

Question 11

Pseudogout- Dx

Answer 11

Calcium pyrophosphate in aspirate

Question 12

Pseudogout- Tx

Answer 12

NSAIDs, colchicine, aspiration