Gout and Osteoarthritis Flashcards

1
Q

what are the symptoms of joint disease

A

pain, immobility stiffness and loss of function

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2
Q

what are the signs of joint disease

A

swelling, deformity, redness, crepitus, loss of function

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3
Q

what are the investigations for joint disease

A

radiography, blood tests (CRP, RF, ENA’S)
arthroscopy

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4
Q

what is an acute monoarthropathies

A

acute arthritis of a single joint (gout)

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5
Q

what are the common causes of acute monoarthropathies

A

infection (septic), crystal arthropathy (gout)

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6
Q

what is gout

A

uric acid crystal deposition in joints

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7
Q

what causes gout

A

drug induced (thiazide diuretics), genetic predisposition, nucleic acid breakdown (chemotherapy), tumour related, obesity and alcohol enhanced

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8
Q

what levels are high with gout

A

high uric acid (hyperuricaemia)

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9
Q

what are the symptoms of gout

A

acute inflammation of a single joint (big toe)

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10
Q

what is used to treat gout

A

NSAIDs

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11
Q

what drug should a gout patient avoid

A

aspirin (interferes with uric acid removal)

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12
Q

what can gout treatments mean for oral cavity

A

can cause oral ulceration

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13
Q

what is osteoarthritis

A

cartilage repair dysfunction

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14
Q

where does osteoarthritis occur

A

in weight bearing joints (hips and knees)

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15
Q

what are the symptoms of osteoarthritis

A

pain, brief morning stiffness, slowly progressive over years

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16
Q

what are the signs of osteoarthritis

A

loss of joint space, subchondral sclerosis, osteophyte lipping at joint edge (radiographs)
joint swelling and deformity

17
Q

what is subchondral sclerosis

A

thickening of the bone

18
Q

what are osteophytes

A

small bony spicules growing at the joint edge

19
Q

what is the treatment of osteoarthritis

A

increasing muscle strength around joint, weight loss, walking aids, NSAIDs, prosthetic replacement

20
Q

what are the dental aspects of osteoarthritis

A

TMJ can be involved, difficulty accessing care, chronic NSAID use causes oral ulceration