lecture 10 joint disease Flashcards

1
Q

5 good words to describe RA

A

chronic, symmetrical, inflammation, deforming and polyarthritis

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2
Q

onset of RA

A

slow

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3
Q

where RA

A

small joints of hands

symmetrical

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4
Q

when RA

A

early morning

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5
Q

primary site of inflammation for RA

A

synovium cells lining the joint

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6
Q

drugs to block TNF alpha

A

infliximab, adlimumab and entanercept

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7
Q

affect of TNF of vasculature

A

Increases vascular endothelial growth factor

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8
Q

TNF and the liver

A

hepatocytes increase C reactive protein

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9
Q

TNF and skin

A

keratin hyperproliferation

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10
Q

TNF and cartilage

A

MMP activation which is an enzyme which causes cartilage damage

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11
Q

most common cause of death in RA patients

A

myocardial infarction

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12
Q

what happens if the RA goes unchecked

A

premature atherosclerosis

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13
Q

sarcopenia

A

weakening of muscles

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14
Q

pain worse after activity is

A

osteoarthritis

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15
Q

osteoarthritis pain where

A

weight baring

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16
Q

osteoarthritis risk factors

A

age
female
genetics
obesity

17
Q

gout usually affects

A

men

18
Q

what is gout

A

soft tissue deposits of uric acid

19
Q

when would a woman get gout

A

after menopause

20
Q

who is gout more common in

A

people with kidney disease because they cant excrete uric acid

21
Q

what is broken down to produce uric acid

A

purines

22
Q

what enzyme produces uric acid

A

xanthine oxidase

23
Q

what drugs can you use to block xanthine oxidase

A

allopurinol and febuxostat

24
Q

what promotes brwaking down purines that may predispose you to gout

A

chemo

25
Q

podagra

A

acute inflammation in the big toe

26
Q

how would you diagnose gout

A

look at the fluid through a microscope

27
Q

septic inflammation worry

A

medical emergency