osteoartritis Flashcards

1
Q

que es

A

enfermedad CRONICO degeneraativa progresiva por desgaste

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2
Q

epidemio >50 años

A

H: rodilla

M: manos y cadera

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3
Q

primera causa de limitacion en el adulto mayor

A

osteoartritis

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4
Q

FR

A

> 50 años, peso, ama de casa, antescedente de lesion articular

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5
Q

clinica - DOLOR MECANICO

A

rigidez matutina que dura <30 min que mejora con el REPOSO, ASIMETRICA,

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6
Q

osteoartrtitis que ataca

A

IFP e IFD por igual

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7
Q

triada de osteoartritis

A

erosion
osteofitos
esclerosis subcondral

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8
Q

sx de stickler

A

mutacion e colageno I, IV, XI

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9
Q

dx

A

VSG, PCR, factor reumatoide negativos

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10
Q

osteofitos

A

hipertrofia osea en los bordes

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11
Q

tx

A

AINES paracetamol + act fisica + frio o calor

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12
Q

degeneracion de complejo articular

A
  • cartilago articular
  • hueso subcondral
  • membrana sinovial
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13
Q

OA primaria - MF

A

sin historia de trauma o articular

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14
Q

OA secundaria

A

trauma, secuelas EII, congenito, inflamatorio

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15
Q

obesidad

A

resisiencia a la leptina saciedad

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16
Q

WOMAC que es

A

cuestionario del dolor

17
Q

OA no siempre tiene erosiones y son CENTRALES

A

verdadero

18
Q

hallazgos rx

A
  • aumento del espacio articular
  • osteofitos
  • esclerosis subcondral
  • quistes subcondrales