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pt clin med > INFLAMMATORY disorders of musculoskeletal tissue > Flashcards

INFLAMMATORY disorders of musculoskeletal tissue Flashcards

0
Q

the frequency with which a condition occurs over a period of time and in relation to the population in which it occurs

A

incidence

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1
Q

number of cases a disease presents in a specific population at a given time

A

prevalence

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2
Q

slow progressive, degeneration of joint structures which can lead to loss of mobility

A

osteoarthritis

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3
Q

disorder of unknown cause but thought to be related to articular cartilage

A

primary osteoarthritis

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4
Q

trauma infection or osteonecrosis arthrities

A

secondary osteoarthritis

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5
Q

osteoarthritis is blank arthritis

A

wear and tear

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6
Q

changes in bone causing it to become dense and hard like ivory

A

eburnation

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7
Q

osteoarthritis causes eburnations because of increased blank on other bones

A

loads

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8
Q

symptoms that progress gradually

A

insidious

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9
Q

pain from osteoarthritis may be described as blank

A

deep ache

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10
Q

loss of blank is associated with osteoarthritis

A

flexibility

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11
Q

inflammation of fibrous connective tissue serving as connection of muscle and bone

A

tendinitis

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12
Q

inflammation of the lubricating fluid of the joint due to contractile tissue involvement

A

tendosynovitis

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13
Q

inflammation of a synovial membrane due to damaged cartilage or exposure to cold and dampness

A

synovitis

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14
Q

inflammation of the pad like sac found in connective tissue

A

bursitis

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15
Q

infected joint from osteomyelitis

A

septic joint

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16
Q

inflammation of bone caused by infectious organism

A

osteomyelitis

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17
Q

osteomyelitis occurs more often in blank than blank

A

boy children, adults

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18
Q

type of osteomyelitis most common and seen in children

A

acute hematogenous

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19
Q

osteomyelitis more common in adults who are immunocompromised

A

chronic

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20
Q

usual cause of osteomyelitis

A

S. aureus

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21
Q

deep continuous pain that increases with weight bearing can be blank

A

osteomyelitis

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22
Q

any person with an acute onset of joint pain and disability should be evaluated for possible blank

A

sepsis (septic arthritis)

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23
Q

children with a septic joint may refuse to blank and be very tender to blank

A

bear weight, palpation

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24
septic joint is often accompanied by other blank symptoms
infection like
25
chronic, systemic, inflammatory disease that is diagnosed by a blood test
rheumatoid arthritis
26
rheumatoid arthritis may involve other blank
systems (cardiopulm, gastrointestinal)
27
1-2% of population of blank
ra
28
rheumatoid arthritis is thought to be a blank disease
autoimmune
29
the blank can proliferate and encroach the joint space in ra
pannus
30
symptoms of early ra
joint stiffness, pain, fatigue, weakness
31
after periods of rest, intense joint pain and stiffness may last from blank to blank
30 mins, several hours
32
blank is the deformity associated with ra
swan neck of fingers
33
diagnosis of ra is based on blank
lab tests, history, physical exams
34
two ra criteria of association
morning stiffness for at least 1 hour and present for 6 weeks, swelling of joints for at least six weeks
35
juvenile ra form marked by a fever and rash that usually appears on trunk and extremities
stills disease
36
inflammatory arthropathy of the axial skeleton like the si joints, costovertebral joints, and iv discs
ankylosing spondylitis
37
ankylosing spondylitis is marked by a chronic blank
inflammation
38
unknown etiology but a blank link is suspected for ankylosing spondylitis
genetic/environmental
39
ankylosing spondylitis causes loss of blank mobility in multiple planes
spinal
40
uric acid in joints and kidneys
gout
41
gout is caused by things like alcohol which decrease the blank of uric acid
excretion
42
tendinitis three key impairments
active motion, isometric pain, palpative tenderness
43
key to tendinitis management
stage of healing identification
44
two key impairments of bursitis
abnormal end feel, local pain
45
wear and tear condition of iv disc
spondylosis
47
defect to pars interarticularis that affects alignment due to slippage
spondylolisthesis
48
True or False: | A high percentage of the population aged 60 and over have some degree of articular damage
True
49
What percentage of people 60 and over have symptoms of osteoarthritis
15-20%
50
At what age is osteoarthritis more frequent in males
45
51
At what age is osteoarthritis more frequent in females
55
52
What is sclerosis
Bone develops where it shouldn't be
53
What is a deformity of the knee that causes people to be bow legged
Varus
54
What is a deformity of the knee that causes people to be knock kneed
Valgus
55
True or False: | Osteoarthritis symptoms can be sudden or insidious
True
56
What do you do with a tight knee with some give
Stretch
57
What do you do with a stiff knee with no give
Non thrust manipulation
58
What is the usual cause of osteomyelitis
Staphlococcus aureus
59
True or False: | Pain is always a factor in the initial phases of osteomyelitis
False
60
True or False: | Osteomyelitis may produce intermittent or constant pack pain
True
61
Lab studies show an increase in what with patients with osteomyelitis
WBC and erythrocyte sedimentation rate ESR
62
What is pyogenic
Pus
63
True or False: | The incidence of septic arthritis is increasing as a result of greater number of people with immunosupressed conditions
True
64
What age do people have to be to have septic arthritis
Any age
65
What are symptoms of septic arthritis (6)
1. Acute onset joint pain 2. Swelling 3. Tenderness 4. Loss of motion 5. Fevers 6. Chills
66
How is septic arthritis diagnosed
analysis of joint fluid
67
What percent of the adult population have rheumatoid arthritis
1-2%
68
How many children can develop this disease
60,000-200,000
69
What is an autoimmune disease
Produced when the body's normal tolerance of its own antigenic markers on cells dissapears
70
What percent of people with rheumatoid arthritis are rheumatoid factor positive
80%
71
What are symptoms
Patient complaints
72
What are signs
Things PTs measures
73
What are the characteristics of swan neck deformity
Extension of PIP | Flexion of DIP
74
What are the characteristics of boutonnier deformity
Flexion of PIP | Extension of DIP
75
What is the primary goal of RA treatment
Controlling inflammation
76
True or False: | Our interventions will cause someone with RA to have more edema but not too much
True
77
What is an imflammatory arthropathy of the thoracic spine and sacroiliac joints
Ankylosing spondylitis
78
How proportion o those affect with ankylosing spondylitis have asymmetrical involvement
1/3
79
True or false ankylosing spondylitis can lead to fibrosis, calcification, and ossification of involved joints
True
80
What is ankylosing spondylitis marked by
A chronic nongranulomatous inflammation
81
What is a granuloma
Growth
82
What does ankylosing spondylitis cause
Disruption of ligamentous-osseous junction and reactive bone formatin
83
Where does bone growth occur in ankylosing spondylitis
At inflammed cartilagenous structures
84
What can ankylosing spondylitis lead to
Bamboo spine
85
What is associated with ankylosing spondylitis
HLA-B27 antigen
86
Ankylosing spondylitis is more prevent in who
Males age 20-40
87
What are some symptoms of ankylosing spondylitis (4)
1. Insidious onset of back pain that is sharp and ache 2. morning stiffness 3. recumbent positions more difficult 4. weight loss, fever and fatigue
88
What does a circumferential measurement at the 4th intercostal space reveal in people with ankylosing spondylitis
Excursion less than 4 cm
89
What causes gout
Increased level of serum uric acid and the deposition of urate crystals in joints
90
What does primary gout refer to
Hyperuricemia in the absence of other disease
91
What does secondary gout refer to
Hyperuricemia in the presence of other disease
92
Who are at risk for gout
Leukemia, lymphoma, psoriasis, hemolytic disorders, and chemo
93
Who is most likely to have primary gout
Men
94
True or False: | A family history of gout puts you at higher risk of gout
True
95
What is the primary goal with tendinitis
Reduce inflammation
96
What is the gold standard test for tendinitis
Resisted isometrics w/ pain
97
True or False: | AROM is sometimes not as painful as PROM
True

pt clin med (15 decks)

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