Joints Flashcards
1
Q
Phases of osteoarthritis (3):
A
- Chondrocyte injury
- Chondrocytes proliferate
- Chondrocyte drop out with loss of cartilage
2
Q
Bone eburnation:
A
Seen in osteoarthritis: bone on bone movement causes polished look with sclerosis beneath
3
Q
Osteophytes:
A
Seen in osteoarthritis: bone spur at joint edge
4
Q
Osteoarthritis symptoms (5):
A
- Deep achy pain
- Morning stiffness
- Worse with use
- Crepitus of joint
- Limited range of motion
5
Q
Heberden nodes:
A
Osteophytes at DIP in women
6
Q
Osteoarthritis spares (3):
A
- Wrists
- Elbows
- Shoulders
7
Q
Pannus (4):
A
Rheumatoid arthritis
- Exuberant inflamed synovium
- Chronic inflammation with T cells
- Granulation tissue with hemosiderin
- Erodes articular cartilage
8
Q
Hand deformities in RA (3):
A
- Radial deviation of wrist
- Ulnar deviation of fingers
- Flexion-hyperextension of fingers (swan neck; boutonniere)
9
Q
Seronegative spondyloarthropathies (4):
A
- Pathology in ligamentous attachments
- Immune mediated
- No specific autoantibody
- HLA-B27
10
Q
Ankylosing spondyloarthritis (3):
A
- Young adults
- HLA-B27
- Axial joints
11
Q
Reactive arthritis (3):
A
Reiter Syndrome:
- Appendicular noninfectious arthritis
- < 1 month after primary infection
- Triad (see, pee, tree):
- Arthritis
- Urethritis
- Conjunctivitis
12
Q
Psoratic arthritis (3):
A
- HLA-B27 and HLA-Cw6
- Insidious
- Pencil in cup deformity in DIP
13
Q
Tophi:
A
Mass deposits of urates in gout.
14
Q
Gout phases (4):
A
- Asymptomatic hyperuricemia
- Acute arthritis
- Intercritical gout (no symptoms)
- Chronic tophaceous gout
15
Q
Ganglion cyst (3):
A
- Cyst near joint or tendon sheath
- Wrist is most common
- No communication with joint space
