Osteoarthritis

Question 1

What are X-ray changes

Answer 1

LOSS
L- loss of joint space
O - osteophytes
S - subarticular sclerosis
S - subchondral cysts

Question 2

How does it present

Answer 2

Joint pain and stiffness worsening with activity and at the end of the day

Question 3

What are signs of OA in the hand?

Answer 3

Heberdens nodes - DIP joints
Bouchards nodes - PIP joints
Squaring at the base of the thumb - CMC joint
Weak grip
Reduced range of motion

Question 4

How can it be diagnosed

Answer 4

if over 45 years, typical pain and no morning stiffness can diagnose clinically

Question 5

What is non-pharmalogical management

Answer 5

Therapeutic exercise
Weight loss
Occupational therapy

Question 6

What are pharmacological options for management

Answer 6

Topical NSAIDs for knee OA
Oral NSAIDs + PPI
Intra articular steroid injections

Question 7

What are side effects of NSAIDs

Answer 7

GI effects
Renal - aki and CKD
Cardiovascular - HTN, HF, MI, stroke
Asthma exacerbation