Osteoarthritis Flashcards
1
Q
How long does morning stiffness last in OA?
A
<30 mins
2
Q
Investigations for OA
A
X-ray
CRP may be elevated
3
Q
What time of day is OA worst?
A
End of day
4
Q
Clinical features of OA
A
Joint pain worse on exercise and relieved by rest
Morning pain <30 mins
5
Q
Clinical examination of OA
A
Crepitus Pain on movement Reduced range of movements Bony swelling (osteophytes) Joint instability Joint effusions
6
Q
Hand deformities in OA
A
Heberden’s/Bouchards nodes
Squaring of carpometacarpal joint of thumb
7
Q
Which joints does OA commonly affect?
A
Knees, hipes, interphalangeal joints, carpometacapral joint of thumb
8
Q
1st line management of OA
A
Conservative management:
- exercise
- physio
- weight loss
- walking aids
- supportive footwear
- local thermotherapy
9
Q
2nd line management of OA
A
Medical analgesia
- Paracetamol +- topical NSAIDs
- Codeine
- Oral NSAIDs for flare ups
10
Q
3rd line management of OA
A
Intra-articular steroid injections
11
Q
4th line management of OA
A
Surgical: Joint replacement
12
Q
Primary risk factors of OA
A
Increasing age
Obesity
FH
Female
13
Q
Secondary risk factors of OA
A
Pre-existing joint damage - trauma, - other arthritis, - Paget's disease Metabolic disease - chondrocalcinosis - caehochromatosis - acromegaly Systemic disease - haemophillia - neuropathy - haemoglobinopathy
