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Skel Rad A > PPT 8 > Flashcards

PPT 8 Flashcards

1
Q

HADD is calcifying

A

tendinitis and bursitis

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2
Q

HADD characteristics

A
  • 40-70 yoa

- M=F

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3
Q

HADD MC in _____ specifically _____ but also affects elbow, wrist, fingers, hip, knee, foot, spine

A

single joint, shoulder (rotator cuff, hip, upper C spine)

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4
Q

What is the most definitive method of Dx for HADD

A

xray

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5
Q

HADD etiology

A

unknown

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6
Q

HADD the area of degeneration is ____ and you see what type of deposition?

A

focal, crystal deposition

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7
Q

HADD tendon calcification

A
  • At insertion site
  • Does not blend into cortex of adjacent bone
  • Ovoid calcifications, sharp margins
  • Disappear with U/S and active mobilization
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8
Q

HADD bursal calcification

A
  • Impossible differentiation from tendon Ca++ radiographically
  • MC subacromial, subdeltoid and ischial bursae
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9
Q

CPPD is a what type of disease

A

crystal deposition disease

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10
Q

What produces gout like symptoms?

A

pseudo-gout

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11
Q

CPPD characteristics

A
  • > 30 yoa
  • Chronic progressive joint pain
  • Peripheral joints (Knees, wrists, hands, ankles, hips, elbows)
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12
Q

CPPD crystal deposition into which cartilage?

A

hyaline and fibrous types

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13
Q

CPPD is in and around which joints

A
  • knee

- wrist

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14
Q

CPPD radiologic features: Chondrocalcinosis - Hyaline Cartilage

A
  • thin, linear, parallel to articular cortex

- MC – wrist, knee, elbow, hip and shoulder

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15
Q

CPPD radiologic features: Chondrocalcinosis - Fibrocartilage

A
  • thick, irregular, shaggy poorly defined margin

- MC – periphery of the meniscus of the knee, triangular fibrocartilage of wrist, symphysis pubis, annulus fibrosus

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16
Q

CPPD - Pyrophosphate arthropathy chracteristics

A
  • Structural joint changes occurring due to CPPD crystals within a joint
  • Similar DJD changes
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17
Q

Erosive OA is known as

A

inflammatory OA

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18
Q

Erosive OA is an episodic and acute inflammation of which joints?

A

DIP and PIP

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19
Q

Erosive OA is unilateral or bilateral?

A

bilateral

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20
Q

Erosive OA is symmetric or asymmetric

A

symmetric

21
Q

Erosive OA characteristics

A
  • Middle-aged females
  • Pain, edema, redness, nodules, ROM
  • 15% develop RA after >12 yrs
  • Familial?
22
Q

EOA radiologic changes

A
  • DJD changes WITH bone erosions
  • –*DIP joints
  • CENTRAL EROSIONS
  • –“GULL WINGS SIGN”
23
Q

EOA main DDX for RA

A

rarely involves the DIP joints, has +’ve lab results

24
Q

EOA main DDX for PA

A

marginal erosions with adjacent periostitis

25
Q

EOA main DDX for non-inflammatory DJD

A

no erosions, identical to EOA

26
Q

RA is what type of tissue disorder?

A

CT

27
Q

RA etiology

A

unknown

28
Q

RA attacks which tissues

A

synovial

29
Q

RA characteristics

A 
20-60 yoa
Female, 3:1 (in 20-40 yoa group)
1:1 (>40 yoa)
Pain, tenderness, stiffness, swelling
“Jelling phenomenon”
30
Q

RA is unilateral or bilateral

A

bilateral

31
Q

In RA, what is the joint involvement?

A

peripheral

32
Q

RA begins at ___ and ___ joints

A

IP & MCP

33
Q

RA progresses proximally or distally?

A

proximally

34
Q

RA - firm non-tender rheumatoid nodules characteristics

A
  • Accumulation of inflammatory cells
  • In 20% of patients
  • severe cases
  • 5mm to 3cm
  • On extensor surfaces
35
Q

RA: Haygarth’s nodes

A
  • soft tissue swelling

- MCP joints

36
Q

RA - Lab Values

A
  • ↑ ESR and ↑ C-reactive protein

- Presence of rheumatoid factor (not specific for RA)

37
Q

Felty’s syndrome which conditions combined?

A

Rheumatoid arthritis + Leukopenia + Splenomegaly

38
Q

In RA you have a poor prognosis if

A
  • Presence of subcutaneous nodules and high levels of rheumatoid factor
  • Exacerbation of disease for more that 1 year
  • Onset earlier than 30 yoa
  • Extra-articular manifestations
39
Q

RA Pathology

A
  • acute synovitis with edema
  • periarticular edema
  • juxta-articular hyperemia
40
Q

In RA, synovial proliferation forms

A

pannus

41
Q

Pannus is ___ tissue that spreads over what surface of bone and cartilage?

A

vascular tissue, intra-articular

42
Q

In RA Bare Area, where intra-articular bone is in direct contact with synovium there are _____ erosions

A

marginal

43
Q

In RA, there are ____ cavities because ___ enters marrow space of the ____ bone

A

cyst-like, pannus, subchondral

44
Q

In RA, the joint fills with pannus and leads to

A

progressive fibrous ankylosis

45
Q

RA MC sites

A
  • Hand
  • Wrist
  • Foot
  • Knee
  • Hip
  • Cervical spine
46
Q

RA of the hands which joint is NOT involved?

A

DIP

47
Q

In RA of the hands there are ____ changes

A

irreversible

48
Q

In RA of the hands there are _____ erosions, MC at

A
  • marginal
  • radial margins of 2nd and 3rd metacarpal heads
  • Radial margins of the distal and proximal ends of the proximal phalanges
49
Q

In RA of the hands you see

A

Boutonniere deformity
Swan-neck deformity
Digital ulnar deviation (zig zag deformity)
Carpal radial deviation

Skel Rad A (3 decks)

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