Jt disease Ch 1 & 2 Flashcards

(48 cards)

1
Q

def______: where the tendon / lig attach

A

Enthesis cc: enthesopathy: inflam cellular infiltrate at the enthesis

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2
Q

def______: LESS than 4 jts involved

A

Pauciarticular

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3
Q

def_____: 4+ jts involved

A

polyarticular

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4
Q

def_______: inflammation ossification within the spinal ligament

A

Syndesmophyte 2 types: 1. Marginal: growing from one endplate to the other 2. on-marginal: grows allong the A.L.L- just i the jt sace (ex: Psoriasis and Reiter’s)

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5
Q

______ is a syndesmophyte the grows from one endplate to the other

A

marginal syndesmophyte

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6
Q

______ is a syndesmophyte the grows along the A.L.L- just in the jt space (ex: _________ & ________)

A

non-marginal ex: Psoriasis & Reiter’s

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7
Q

def_________: elevated periosteum

A

periostitis

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8
Q

def______: no Rh factor

A

seronegative

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9
Q

name 3 cartilaginous jts

A
  1. Intervertebral disc 2. Symphysis pubis 3. Manubriosternal jt
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10
Q

the lower 2/3 of the S.I jt is made of : ________ Upper 1/3rd of the SI jt is made of :_________

A

lower: synovial Upper: fibrosous

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11
Q

____ jts have bare areas

A

synovial jts: adhere to the capsule and non articular bone (bare areas)

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12
Q

____ : cancellous bone lives under it - there is no periosteum under

A

subchondral bone

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13
Q

What category is RA?

A

Inflammatory

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14
Q

What 4 major disease are: 1. RA 2. Lupus 3. AS 4. Psoriatic arthritis

A

Infammatory

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15
Q

AVN is usually located at the ______ of the bone

A

epiphysis

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16
Q

_____ OA is not an inflammatory disease

A

inflammatory / erosive OA

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17
Q

DJD dx with gull wings

A

Inflammatory (erosion) OA - specific to hands

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18
Q

vaccum sign occurs in the ______

A

nucleus pulposus (when there is no jt ht. nearing it is called: spondylosis deformans)

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19
Q

_____: hypertrophic unicinate processes Occur in the ______ category

A

pseudo-fractures occur in: degenerative category)

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20
Q

cc_______: degeneration of the outer ortion of the annulus fibrosis, identified by marginal osteophytes

A

spondylosis deformans (when the adjacent vert. is involved = Intervertebral chondrosis) degenerative category

21
Q

cc_________: Ca+ at at least 4 conti vert location: anterior to the A.L.L ______ category

A

Diffuse Idiopathic skeletal hyperostosis (DISH) - there is a preservation of disc space degenerative category

22
Q

cc________: involves villi. Villi hypertrophies and breaks off = loose body

A

Synoviochondrometaplasia

23
Q

cc______: anything that affects the nervous input to the jt = there is no feeling in that jt

A

neurotrophic arthopathy 2 types: 1. hypertrophic arthropathy 2. Atrophic arthropathy

24
Q

name the 6 D’s of Hypertrophic arthropathy

A
  1. distention- swelling of the jt 2. debris 3. dislocation 4. density increase 5. disorganization 6. destruction
25
Atrophic arthropathy occurs following an \_\_\_\_\_\_
infection "licked candy stick" ex: leprosy
26
\_\_\_\_\_\_\_\_\_:Triangular shaped sclerosis of the iliac side of the SI jt → incr in bone density
Osteitis Condensans Ilii (MC: women- changes to pelvis during pregnancy)
27
what is pannus formation? What dx is it seen in\_\_\_\_\_
waste product of the tiss. in the area - occurs at: transverse lig= instability at the atlanodental region DX: RA
28
anteriolisthesis aka ______ Dx: \_\_\_\_\_
Stepladder (loss of disc ht, C2-C4) Dx: RA
29
Stelle's Law of Thirds
1/3rd: ring taken up by the dens 1/3rd: of the space is taken up by the SC 1/3rd: of the space is taken up by everything else
30
What is the MC type of Juvenile Idiopathic arthritis
Still's dx (RF Neg) - polyarticular
31
What is the path of AS
T/L jxn--\> SI --\> Neck
32
Explain the difference btw: 1. Bamboo spine 2. Dagger sign 3. Trolly track
1. bamboo: Undulating vert. contour 2. Dagger: single central radiodense line (supraspinous & interspinous lig) 3. Trolley: 3 vertical radiodense lines (interspinous lig, supraspinous lig, and apophyseal jt capsule)
33
cc\_\_\_\_\_\_: has shiny corners and squaring of the vert. bodies
AS
34
"Mouse Ear" fluffy periosteal rxn at the margins
Psoariatic arthritis (also has Pencil in cup) (inflammatory category)
35
What does C.R.E.S.T stand for? what dx:
C: calcinosis R: Raynaud's E: Esophageal dysmotility S: Sclerodactyly T: Telangiectasia Dx: Scleroderma (inflammatory category)
36
\_\_\_\_\_\_\_dx: inflammation and degeneration of M and Skin with ass. soft tiss Ca+ - Ca+ starts to outline where the border of skin is
Polymyositis (M) or Dermatomyositis (skin + M) (inflam category)
37
cc\_\_\_\_\_\_\_: GH hypersecretion due to pituitary adenoma
Acromegaly
38
pseudo gout aka \_\_\_\_\_
Calcium pyrophosphate deposition disease (CPPD)
39
cc\_\_\_\_\_\_\_: has linear Ca+ in hyaline or fibrocartilage Category: \_\_\_\_\_
Calcium Pyrophosphate Deposition Disease (CPPD) deposition
40
\_\_\_\_\_\_: deposition of Ca+ in the tendon or capsule (usually follows trauma)
Hydroxyapatite Deposition Disease (HADD)
41
purine metabolism disorder
Gout
42
\_\_\_\_\_ condition has an " overhanging edge sign"
Gout (tophus formation)
43
\_\_\_\_\_\_\_ condition has a lack of homogentisic acid oxidase
Ochronosis (alkaptonuria) leads to Ca+ of disc and other CT (it looks like AS, but also has Ca+ in the disc space)
44
\_\_\_\_\_\_: noncaseating granulomas, subcutaneous nodules
Sarcoidosis Appearance: • honeycomb: lucent changes • lace or lattice-like trabecular pattern of destruction • Acro-osteolysis: distal bone break down • Cystic Defects
45
Which condition has "honey comb" lucent changes
sarcoidosis
46
during ______ condition you will see Acro-osteolysis (distal bone break down)
sarcoidosis
47
cc\_\_\_\_\_\_: Vascular supply to an osseous structure is diminished / eliminated
osteonecrosis avascular necrosis
48
Affected structures of osteonecrosis avascular necrosis (6)
• Femoral head/ hip • Distal humerus/ elbow • Lunate/ wrist • Distal femur/ knee • Talus/ ankle • Humeral head/ shoulder