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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
Q

septic joint is often accompanied by other blank symptoms

A

infection like

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25
Q

chronic, systemic, inflammatory disease that is diagnosed by a blood test

A

rheumatoid arthritis

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26
Q

rheumatoid arthritis may involve other blank

A

systems (cardiopulm, gastrointestinal)

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27
Q

1-2% of population of blank

A

ra

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28
Q

rheumatoid arthritis is thought to be a blank disease

A

autoimmune

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29
Q

the blank can proliferate and encroach the joint space in ra

A

pannus

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30
Q

symptoms of early ra

A

joint stiffness, pain, fatigue, weakness

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31
Q

after periods of rest, intense joint pain and stiffness may last from blank to blank

A

30 mins, several hours

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32
Q

blank is the deformity associated with ra

A

swan neck of fingers

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33
Q

diagnosis of ra is based on blank

A

lab tests, history, physical exams

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34
Q

two ra criteria of association

A

morning stiffness for at least 1 hour and present for 6 weeks, swelling of joints for at least six weeks

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35
Q

juvenile ra form marked by a fever and rash that usually appears on trunk and extremities

A

stills disease

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36
Q

inflammatory arthropathy of the axial skeleton like the si joints, costovertebral joints, and iv discs

A

ankylosing spondylitis

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37
Q

ankylosing spondylitis is marked by a chronic blank

A

inflammation

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38
Q

unknown etiology but a blank link is suspected for ankylosing spondylitis

A

genetic/environmental

39
Q

ankylosing spondylitis causes loss of blank mobility in multiple planes

A

spinal

40
Q

uric acid in joints and kidneys

A

gout

41
Q

gout is caused by things like alcohol which decrease the blank of uric acid

A

excretion

42
Q

tendinitis three key impairments

A

active motion, isometric pain, palpative tenderness

43
Q

key to tendinitis management

A

stage of healing identification

44
Q

two key impairments of bursitis

A

abnormal end feel, local pain

45
Q

wear and tear condition of iv disc

A

spondylosis

47
Q

defect to pars interarticularis that affects alignment due to slippage

A

spondylolisthesis

48
Q

True or False:

A high percentage of the population aged 60 and over have some degree of articular damage

A

True

49
Q

What percentage of people 60 and over have symptoms of osteoarthritis

A

15-20%

50
Q

At what age is osteoarthritis more frequent in males

A

45

51
Q

At what age is osteoarthritis more frequent in females

A

55

52
Q

What is sclerosis

A

Bone develops where it shouldn’t be

53
Q

What is a deformity of the knee that causes people to be bow legged

A

Varus

54
Q

What is a deformity of the knee that causes people to be knock kneed

A

Valgus

55
Q

True or False:

Osteoarthritis symptoms can be sudden or insidious

A

True

56
Q

What do you do with a tight knee with some give

A

Stretch

57
Q

What do you do with a stiff knee with no give

A

Non thrust manipulation

58
Q

What is the usual cause of osteomyelitis

A

Staphlococcus aureus

59
Q

True or False:

Pain is always a factor in the initial phases of osteomyelitis

A

False

60
Q

True or False:

Osteomyelitis may produce intermittent or constant pack pain

A

True

61
Q

Lab studies show an increase in what with patients with osteomyelitis

A

WBC and erythrocyte sedimentation rate ESR

62
Q

What is pyogenic

A

Pus

63
Q

True or False:

The incidence of septic arthritis is increasing as a result of greater number of people with immunosupressed conditions

A

True

64
Q

What age do people have to be to have septic arthritis

A

Any age

65
Q

What are symptoms of septic arthritis (6)

A
  1. Acute onset joint pain
  2. Swelling
  3. Tenderness
  4. Loss of motion
  5. Fevers
  6. Chills
66
Q

How is septic arthritis diagnosed

A

analysis of joint fluid

67
Q

What percent of the adult population have rheumatoid arthritis

A

1-2%

68
Q

How many children can develop this disease

A

60,000-200,000

69
Q

What is an autoimmune disease

A

Produced when the body’s normal tolerance of its own antigenic markers on cells dissapears

70
Q

What percent of people with rheumatoid arthritis are rheumatoid factor positive

A

80%

71
Q

What are symptoms

A

Patient complaints

72
Q

What are signs

A

Things PTs measures

73
Q

What are the characteristics of swan neck deformity

A

Extension of PIP

Flexion of DIP

74
Q

What are the characteristics of boutonnier deformity

A

Flexion of PIP

Extension of DIP

75
Q

What is the primary goal of RA treatment

A

Controlling inflammation

76
Q

True or False:

Our interventions will cause someone with RA to have more edema but not too much

A

True

77
Q

What is an imflammatory arthropathy of the thoracic spine and sacroiliac joints

A

Ankylosing spondylitis

78
Q

How proportion o those affect with ankylosing spondylitis have asymmetrical involvement

A

1/3

79
Q

True or false ankylosing spondylitis can lead to fibrosis, calcification, and ossification of involved joints

A

True

80
Q

What is ankylosing spondylitis marked by

A

A chronic nongranulomatous inflammation

81
Q

What is a granuloma

A

Growth

82
Q

What does ankylosing spondylitis cause

A

Disruption of ligamentous-osseous junction and reactive bone formatin

83
Q

Where does bone growth occur in ankylosing spondylitis

A

At inflammed cartilagenous structures

84
Q

What can ankylosing spondylitis lead to

A

Bamboo spine

85
Q

What is associated with ankylosing spondylitis

A

HLA-B27 antigen

86
Q

Ankylosing spondylitis is more prevent in who

A

Males age 20-40

87
Q

What are some symptoms of ankylosing spondylitis (4)

A
  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
Q

What does a circumferential measurement at the 4th intercostal space reveal in people with ankylosing spondylitis

A

Excursion less than 4 cm

89
Q

What causes gout

A

Increased level of serum uric acid and the deposition of urate crystals in joints

90
Q

What does primary gout refer to

A

Hyperuricemia in the absence of other disease

91
Q

What does secondary gout refer to

A

Hyperuricemia in the presence of other disease

92
Q

Who are at risk for gout

A

Leukemia, lymphoma, psoriasis, hemolytic disorders, and chemo

93
Q

Who is most likely to have primary gout

A

Men

94
Q

True or False:

A family history of gout puts you at higher risk of gout

A

True

95
Q

What is the primary goal with tendinitis

A

Reduce inflammation

96
Q

What is the gold standard test for tendinitis

A

Resisted isometrics w/ pain

97
Q

True or False:

AROM is sometimes not as painful as PROM

A

True

pt clin med (15 decks)

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