MSK Pathologies (not joint specific) Flashcards
What are some examples of rheumatic diseases?
- Rheumatoid arthritis
- Osteoarthritis
- Axial spondyloarthritis (e.g. ankylosing spondylitis)
- Gout
- Psoriatic arthritis
What are rheumatological diseases be caused by?
- Problems in the immune system
- Inflammation
- Gradual deterioration joints, muscles and bones
What are indicators of rheumatological conditions?
- More than one joint affected
- Family history of RA or other rheumatological condition
- Early morning stiffness which lasts more than 30 minutes
- Fatigue
- Swollen joints
- Joints feel better after light activity
- Uveitis, psoriasis
What is the Axial Spondyloarthritis referreal criteria?
LBP starting before the age of 45, has lasted for longer than 3 months and 4 or more of the following are present:
- LBP started before the age of 35
-Waking during the second half of the night due to symptoms
- Buttock pain
- Improvement with movement
- Improvement within 48 hours of taking NSAID’s
- A first degree relative with spondyloarthritis
- Current or past arthritis
- Current or past enthesitis
- Current or past psoriasis
Who is osteoporosis more common in?
women
Osteoporosis.
reduced bone mineral density (BMD)
What are the most common sites for osteoporotic fractures?
- Spine
- Wrist
- Hip
- Pelvis
What are risk factors for osteoporosis?
- Female
- Over 50
- Low body weight
- Previous fracture or height loss
- Smoking
- High intake of alcohol
- Amenorrhea
- Early menopause (before 45)
- Inflammatory conditions (e.g. RA, Crohn’s)
- Conditions affecting hormone producing glands
- Family history of osteoporosis
- Long term use of medications which affect bone strength e.g. prednisolone
- Poor diet lacking calcium, vitamin D, fruit and vegetables
- Too much protein, sodium and caffeine
- Malabsorption problems
- Vitamin D deficiency
- Inactive lifestyle
How can septic arthritis develop?
When an infection (such as a skin infection or urinary tract infection) spreads through your bloodstream to a joint
Less commonly:
- puncture wound
- drug injection
- surgery in or near a joint (including joint replacement surgery) - can give germs entry into the joint space
What is osteomylitis?
an infection in a bone (can affect more than 1 part of a bone)
How can osteomylitis occur in bone?
- Infections can reach a bone through the bloodstream or from nearby infected tissue.
- Infections also can begin in the bone if an injury opens the bone to germs.
What joints are commonly affected by septic arthritis?
- Knee
- Wrist
- Ankle
- Hips
- Symphysis pubis
What are signs & symptoms (S&S) of septic arthritis?
- Painful, red swollen joint
- Reduced range of motion
- Systematically unwell & fever
What are risk factors of septic arthritis?
- Inflammatory joint
- Disease
- Diabetes
- IV drug use
- Alcoholism
- Immunosuppression
- Malignancy
- Recent trauma or surgery
What must be done if patient has septic arthritis?
prompt medical intervention is needed to treat and prevent joint damage