Gout and Osteoarthritis Revision Questions

Question 1

Signs of joint disease

Answer 1

swelling - fluctant, bony, synovial
redness and loss of function
crepitus
deformity - destructive process underway

Question 2

Symptoms of joint disease

Answer 2

pain
loss of function
immobility and stiffness

Question 3

Primary Gout

Answer 3

overproduction/ undersecretion of uric acid
rasied serum urate
obesity and alcohol enhanced

Question 4

Secondary gout

Answer 4

related to medication or conditions that cause excess uric acid
alcoholic binge
drug related - diuretics
chemo - tumour breakdown

Question 5

Symptoms of gout

Answer 5

usually big toe
accute inflammation of a single joint
rapdi onset - hours

Question 6

Dental aspects of gout

Answer 6

avoid aspirin - interferes with uric acid removal

drug treatments can cause recurrent oral ulcerations - e.g allopurinol

Question 7

Osteoarthritis

Answer 7

degenrative joint diease
mainly hips, hands, knees

signs - joint swelling and deformity, hard bony nodules,
symptoms - pain which improves with rest and increases with actitivty, brief morning stiffness, slowly progressive over years

Question 8

Treatment for osteoarthritis

Answer 8

NSAIDs
steriods - hydrocortisone injections
joint replacement

Question 9

Dental aspects of osteroarthtirtis

Answer 9

TMJ can be involved
difficulty in accessing care
Chronic NSAID use - oral ulcerations, higher bleeding tendency if on anti-plateltes
consider antibiotic prohylaxis if had joint replacement