LG3.4 Arthritis I – Dr. Winfield Flashcards

1
Q

What are Articular symptoms?

A
  • Decreased Active/Passive ROM
  • Pain provoked by movement
  • Heat, swelling, erythema/redness
  • Symmetrical polyarticular
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2
Q

Define Monoarticular

A

One joint

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3
Q

Define Polyarticular

A

Multiple joints

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4
Q

Chronic vs Acute

A

Chronic- Greater than 6 weeks

Acute- Less than 6 weeks

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5
Q

What are the components of Synovial Fluid analysis?

A
  • Cell Count
  • Gram stain
  • Culture
  • Crystal Identification
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6
Q

What is the cell count of leukocytes for a positive septic joint?

A

100,000/uL with 90% neutrophils

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7
Q

Characteristics of Inflammatory (Rheumatoid Arthritis)?

A
  • Waxing and waning disease activity
  • Morning stiffness
  • Improvement with use
  • Systemic symptoms ( fever or malaise)
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8
Q

What disease is non-inflammatory?

A

Osteoarthritis

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9
Q

What are general characteristics of Osteoarthritis?

A
  • 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
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10
Q

What is the most common for of arthritis?

A

Osteoarthritis

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11
Q

What are Bouchard nodes

A

Bony proliferation of the proximal interphalangeal joints

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12
Q

What are Heberden nodes?

A

bony proliferation at the distal interphalangeal joints

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13
Q

What are the main locations of OA symptoms?

A

KNEES, hips, knee, and hands

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14
Q

What are the risk factors for OA?

A

Obesity, occupations, female, trauma, and age

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15
Q

What is primary OA?

A

unknown cause (wear and tear)

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16
Q

What is secondary OA?

A
  • Develops due to another condition

- Trauma, metabolic disorders

17
Q

Lab values of Septic Arthritis WBC count?

A

> 100,000, 90%PMN

18
Q

When it comes to rest/movement which improves RA and OA?

A

RA- MOVEMENT

OA- REST

19
Q

What is the main location of OA?

A

KNEE

20
Q

Where is RA most common?

A

MCP, PIP

21
Q

What are common labs of RA?

A

Increased RF, ACCP, ESR, and CRP

22
Q

What are general characteristics of Septic arthritis?

A
  • Acute
  • Fever
  • Pain
  • Resistant to Passive ROM
23
Q

Is septic arthritis normally polyarticular or monoarticular?

A

Poly-articular

24
Q

What are risk factors for septic arthritis?

A
  • immunocompromised, IV drug user

- Bite, thorn