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HUD > Musculoskeletal Pathology > Flashcards

Musculoskeletal Pathology Flashcards

1
Q

What is rheumatoid arthritis?

A

Multisystemic disease
Autoimmune
Symmetrical poly arthritis

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2
Q

What is the cause of RA?

A

Chronic inflammatory
Genetic

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3
Q

What are the 2 main groups of clinical features of RA?

A

Intra articular - synovial joints, inflammation, morning pain, movement impaired, atlanto-axial joint of cervical spine
Extra articular - systemic, subcutaneous nodules, sjogrens, carpal tunnel, lungs, heart, skin

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4
Q

What are the 2 main treatment for RA?

A

Anti inflammatory
DMARDS- steroids

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5
Q

What is the dental relevance of RA?

A

Neck stability
TMJ
Risk of infection immunosuppressants
Dexterity tooth brush
Anaemia

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6
Q

What is osteoarthritis?

A

Degenerative destruction of joint cartilage and bone
Wear and tear

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7
Q

What areas do osteoarthritis affect?

A

Large joints, not tissues
Weight bearing joints, his, knees, spine

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8
Q

What are the 2 types of osteoarthritis?

A

Primary - no cause, age, obesity
Secondary - trauma, surgery, neuro

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9
Q

What are the symptoms of osteoarthritis?

A

Pain worse with use
Hard bony swelling
Joints enlarged

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10
Q

what are the treatments for osteoarthritis?

A

Analgesia
Joint replacement
Physio
Surgery

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11
Q

What is the dental relevance of osteoarthritis?

A

NSAIDs don’t overdose
TMJ
Manual dexterity

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12
Q

What is Sjögren’s syndrome?

A

Dry eyes and dry mouth
Autoimmune systemic
Lacrimal and salivary glands infiltrated with lymph’s and plasma cells

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13
Q

What are the 2 types of Sjögren’s syndrome?

A

Primary - dryness of mouth, eyes, skin, vag
Secondary - with other autoimmune disorders, RA

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14
Q

What is the dental relevance of Sjögren’s syndrome?

A

Xerostomia
Salivary gland enlargement
Caries
Candidasis

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15
Q

What is osteoporosis?

A

Decrease in mineral density of mineralised bone
Weakening of whole skeleton
Fractures in hip and wrist

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16
Q

Who are at risk to osteoporosis?

A

Renal disease
Steroid therapy
Post menopausal women
Vit D deficiency

17
Q

What is the dental relevance of osteoporosis?

A

Implants take longer to integrate into bone

18
Q

What is giant cell arteritis ?

A

Granulomatous inflammation in arteries of head and neck

19
Q

How does giant cell arteritis present?

A

Headache
Tender scalp
Tender temporal

20
Q

What is pagets disease?

A

Chronic disease
Random phases of bone restoration and deposition
Disorganised bone structure

21
Q

What are the clinical features of Paget’s disease?

A

Deformed bones
Cotton wool bones
Headaches
Hearing loss
Pain due to bone pressure on nerves

22
Q

What is the treatment for Paget’s disease?

A

Calcium supplement
Bisphosphates

23
Q

What is the dental relevance for Paget’s disease?

A

Jaw bones affected
Mobile teeth
Facial pain

HUD (16 decks)

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