Gout, osteoarthritis and rheumatoid

Question 1

Name some investigations for joint disease

Answer 1

1. Rg - plain, MRI, arthrography
2. Bloods: CRP, Rh factors, ENA’s, Anti DS-DNA, Anti ANA
3. Arthroscopy & biopsy

Question 2

What is Gout
-Caused by
-who suffers from it
-where most common site

Answer 2

-uric acid deposit in joint
-hyperuricemia, alcohol dependence, obesity and genetic factors
-big toe

Question 3

Dental relevance of gout

Answer 3

AVOID Aspirin
-treatment-allopurinol=oral ulceration

Question 4

What is osteoarthritis

Answer 4

Degenerative joint disease affecting weight bearing joints eg knees and hips

Question 5

Symptoms of osteoarthritis

Answer 5

Joint pain, especially in morning
Improves with rest/worse with exercise

Question 6

Signs of osteoarthritis

Answer 6

Radiographs
 loss of joint space & subchondral sclerosis
 osteophyte lipping at joint edge
 radiographs may show ASYMPTOMATIC changes
- is OA the cause of symptoms?
 Joint swelling & deformity