LG3.4 Arthritis I – Dr. Winfield Flashcards
What are Articular symptoms?
- Decreased Active/Passive ROM
- Pain provoked by movement
- Heat, swelling, erythema/redness
- Symmetrical polyarticular
Define Monoarticular
One joint
Define Polyarticular
Multiple joints
Chronic vs Acute
Chronic- Greater than 6 weeks
Acute- Less than 6 weeks
What are the components of Synovial Fluid analysis?
- Cell Count
- Gram stain
- Culture
- Crystal Identification
What is the cell count of leukocytes for a positive septic joint?
100,000/uL with 90% neutrophils
Characteristics of Inflammatory (Rheumatoid Arthritis)?
- Waxing and waning disease activity
- Morning stiffness
- Improvement with use
- Systemic symptoms ( fever or malaise)
What disease is non-inflammatory?
Osteoarthritis
What are general characteristics of Osteoarthritis?
- Pain after use, improvement with rest
- NO SYSTEMIC SYMPTOMS
- Asymmetric joint involvement
- Affects the weight bearing joints and distal and proximal interphalangeal and first carpometacarpal joints of the hand
What is the most common for of arthritis?
Osteoarthritis
What are Bouchard nodes
Bony proliferation of the proximal interphalangeal joints
What are Heberden nodes?
bony proliferation at the distal interphalangeal joints
What are the main locations of OA symptoms?
KNEES, hips, knee, and hands
What are the risk factors for OA?
Obesity, occupations, female, trauma, and age
What is primary OA?
unknown cause (wear and tear)
What is secondary OA?
- Develops due to another condition
- Trauma, metabolic disorders
Lab values of Septic Arthritis WBC count?
> 100,000, 90%PMN
When it comes to rest/movement which improves RA and OA?
RA- MOVEMENT
OA- REST
What is the main location of OA?
KNEE
Where is RA most common?
MCP, PIP
What are common labs of RA?
Increased RF, ACCP, ESR, and CRP
What are general characteristics of Septic arthritis?
- Acute
- Fever
- Pain
- Resistant to Passive ROM
Is septic arthritis normally polyarticular or monoarticular?
Poly-articular
What are risk factors for septic arthritis?
- immunocompromised, IV drug user
- Bite, thorn