Pseudogout Flashcards
1
Q
What is pseudogout?
A
Crystal arthropathy caused by Calcium pyrophosphate crystals
2
Q
What is pseudogout AKA
A
Chondrocalcinosis
3
Q
Presnetation of pseudogout?
A
-Older adult with hot, swollen, stiff, painful knee
Shoulder, hip, wrists also commonly affected
4
Q
Diagnosis of pseudogout?
A
EXCLUDE SEPTIC ARTHRITIS
Aspirate synovial fluid
5
Q
What will synovial fluid show in pseudgout?
A
- Calcium pyrophosphate crystals
- Rhomboid shaped crystals
- Positive birefringent of polarised light
6
Q
What is a classic x-ray change in pseudogout?
A
Chondrocalcinosis
7
Q
What does chondrocalcinosis appear as?
A
Thin white line in middle of joint space caused by calcium deposition
8
Q
Other x-ray changes in pseudogout?
A
L: Loss of joint space
O: Osteophytes
S: Subarticular sclerosis
S: Subchondral cysts
9
Q
Management of symptoms of pseudogout?
A
- NSAIDs
- Colchicine
- Joint aspiration
- Roid injections
- Oral steroids
10
Q
What to do in severe cases of pseudogout?
A
Joint wash out
-Arthrocentesis
