Exam #3 Flashcards
What is osteoarthritic?
Damage to the articular cartilage
What is secondary osteoarthritic?
It is Due to trauma, stress
Is inflammation a central component in osteoarthritic?
No, swelling is minor
Where are the most common places in the body to get osteoarthritic?
- Cervical spine
- Lumbar spine
- CMC, PIP,DIP
- Hips
- Knees
What type of disease is osteoarthritic? What age group of people?
- Degenerative disease
- People in their 40’s
Symptoms of OA?
- Pain
- Stiffness
- Crepitus
- Tenderness
- Slowly progressing
What is the difference between heberdens nodes and bouchards nodes?
- Heberdens nodes affect the DIP joint
- Bouchards nodes affect the PIP joint
What is Rheumatoid arthritis?
- Collagen disorder
- Affects the organs
- Inflammation
- Systemic
What is the extremes of the Classification of functional status of patients with RA?
Class 1: completely able to preform activities of daily living
Class 4: limited ability to preform usual self care
What are some other inflammatory arthropathies?
- Lupis
- Scleroderma
- Hepatitis
- Vasculitis
What is the Tinels Sign physical exam?
-Tapping over the median nerve
What does hepatosplenomegaly?
Enlarged liver and spleen
What is an example of a group 1 medication?
Non steroidal medication.
- Anti-inflammatory
- NSAID Ibuprofen
What is an example of a group 2 medication?
Disease Modifying Anti-Rheumatic Drug
- Methotrexate
- Gold compounds
What is an example of a group 3 medication?
Cortico-steriods
- Prednisone
- Cortisone
What is an example of a group 4 medication?
Biological Response Modifiers (BRM’s)
- Remicade
- Enbrel
What are 2 other spondyloarthropies?
- Ankylosing spondylitis
- Juvinaile spondylarthropathy
What is anklosing spondylitise?
The bodys joints fuse together decreasing ROM
What are some exercises for someone with anklosing spondylisis?
- Back extension exercises
- Makenzie exercises
At what age is anklosing spondylitis found at?
20-30 years old
What does the HLA-B-27 mean?
The gene for anklosing spondilitis
What is uveitis?
Inflammation of the uvetis (eye)
What are some sympotoms of uveitis?
- Seeing floating objects in vision
- Sensitive to light
- Pain
- Redness
- Inflammation
What is fribromyalgia? and some symptoms?
It is muscular pain through out the body
- Pain
- Stiffness
- Fatigue
Where are some tender points for someone who has fibromyalgia?
- Neck
- Shoulders
- Hips
Who is fibromyalgia more common in?
-Young women who are type A
What is the diagonisis for fibermyalgia?
- Wide spread pain lasting at least 3 months
- Pain and tenderness in at least 11-18 tender points
What is the best treatment for fibromyalgia?
Light aerobic exercises
What is chronic fatigue syndrome?
-It is tiredness that is server enough for someone to decreases their self care by 50%
Who is chronic fatigue syndrome more common in?
-Females ages 30-50
What causes reactive arthritis Reiters syndrome?
Bacterial infection
What is kertoderma blennorrhagica? common places?
Where the skin becomes thickened
-Hands, feet, toes
What is gout?
What causes it?
Uria christals form in a joint
-Acidic food, idiopathic
Who does gout affect more?
It affects men more than women
What is lups? what are some symptoms?
It is a systemic disease
- Causes a butterfly rash on face
- Inflammation of heart, lungs
- Ulnar drift in hands
Who does lupis affect more?
It affects Women more
What are some treatment options for lupis?
- NASIDS
- Prednisone
- Methotrexate
What is sclerderma?what is the first symptom?
It is a collegen disorder
-First symptom is swelling in the hands
What is vasculitides?
Inflammation of the blood vessels
What is Takaysu?
It affects the aorta
Who does takaysu affect more?
80-90% women are more affected
What is kawaski disease?
Red eyes and red tounge
What is burgers disease?
Lack of blood supply to the distal extremities
What is polyarthritis nodosa?
Inflamed large blood vessels