Rheuma: Osteoarthritis Flashcards
When do these patients feel the most pain?
at night
what kind of tissues is swollen in OA?
bone
are there signs of inflammations such as erythema or warmth in OA?
no
is there is morning stiffness
yes, which lasts less than 30 minutes
are there systemic features in OA?
no
how are ESR and CRP levels in OA?
not elevated
WCC in synovial fluid
low (less than 2000)
which joints are more likely to be hit by OA?
ankles, knees and hips (larger joints)
non-pharmacological options for OA
- physiotherapy
- occupational therapy
- lifestyle changes (weight loss, non-weight bearing exercises)
pharmacological options for OA
- paracetamol
- NSAIDs
- pain patches
- hot and cold packs
- capsaicin cream
- Cymbalta (duloxetine)
- steroid injection (if there is inflammation)
- for superficial joints, you can use topical treatment
- for deep joints, you can use oral or injectable treatments
injectable treatment options for OA
- cortisone
- lubrication
- hyaluronic and chondroitin
- steroid/NSAIDs
- platelet-rich plasma
surgical options for OA
- realigning bones
- joint replacement
- joint fusion
- bunion repair
which population does this affect?
the elderly population as this is due to degeneration and wear-and-tear of the joints
what are the nodes caused by osteophyte deposition called
Bouchard’s node in PIP
Heberden’s node in DIP
pattern of the joints affected
polyarthritic and asymmetrical
