MSK Ortho/Skeletal/Arthritis Conditions Flashcards
2 types of osteoporosis
5 meds/supplements
Primary = directly related to decreased estrogen post-menopause Senile = decrease in bone cell activity secondary to genetics
Meds: vitamin D, calcium, calcitonin, estrogen, biophosphonates
RA
What joints affected, how?
MCP and PIP pannus formation (inflamm granulation tissue covering jt surface)
Ulnar drift, volar sublux MCP joints, PIP ulnar drift
May have Swan’s neck, Boutonniere’s, Bouchard’s Nodes (dorsal PIP)
Meds for RA
Gold compounds, DMARDs (disease-modifying antirheumatic drugs), immunosuppressive agents, corticosteroids
Dx Testing (labs) for RA findings
increased WBC, increased erythrocytes sedimentation rate (ESR), low hemoglobin/hematocrit (anemia), + for rheumatoid factor
COX-2 inhibitors, colchicine, corticosteroids, adrenocorticotropic hormone (ACTH), allopurinol, probenecid, sulfinpyrazone
— meds used for what?
Gout
Decalcification of bones due to Vitamin D deficiency: characteristics of what?
Symptoms include?
Osteomalacia
Severe pain, fractures, weakness, deformities
Osteomalacia Dx testing
Plain films, lab tests of urinalysis and blood tests, bone scan, and bone biopsy
Abnormal calcification within muscle belly (painful) — surgery for pts with nonhereditary type only after maturation of lesion (6-24 mo)
Myositis ossificans
CRPS is aka ___
Reflex sympathetic dystrophy (RSD)
CRPS I vs CRPS II
I: Frequently triggered by tissue injury, no underlying nerve injury
II: Same symptoms, but cases clearly associated with nerve injury
Long-term effects of CRPS
Muscle wasting, trophies skin changes, decreased bone density, decreased proprioception, loss of muscle strength from disuse, jt contractures
Paget’s disease
What is it/what does it lead to?
Metabolic bone disease involving abnormal osteoclastic and osteoblastic activity
Results in spinal stenosis, facet arthropathy, possible spinal fx
Torticollis neck positioning
Spasm of SCM — side bend toward, rotate away from affected side
