Osteoarthritis Flashcards
1
Q
OA morning stiffness lasts for____
A
<30 minutes
2
Q
Lab tests to order for OA
A
CBC, ESR, CRP
3
Q
OA synovial fluid analysis
A
WBC counts between 200–2000 cells/mm 3 with <70% (typically<25%) polymorphonuclear leukocytes
4
Q
Radiographic findings of OA
A
joint-space narrowing, osteophytes, sclerosis, and subchondral cysts
5
Q
Treatment for OA
A
- non-pharmacological with PT, weight loss, braces,
- acetaminophen, topical capsaicin, topical NSAIDs ( preferred in patients aged ≥75), oral NSAIDs, duloxetine
- surgical: failure of conservative treatments, significantly impaired function and quality of life, radiographic evidence of significant OA deemed responsible for symptoms, and patient preference and willingness to accept the risks of surgery.
6
Q
Benefit of arthroscopic knee surgery with knee pain?
A
No benefit noted
7
Q
Celecoxcib vs ibuprofen/naproxen for athritis
A
equivocal for CV risk
8
Q
Duloxetine in OA?
A
Has some efficacy but side effects not tolerable for some
9
Q
Chondroiton, glucosamine or hyaluronic acid in OA?
A
No benefit
