Rheumatology

Question 1

What are the x-ray features of osteoarthritis?
(LOSS)

Answer 1

Loss of joint space
Osteophytes
Subchondral sclerosis
Subchondral cysts

Question 2

What are osteophytes?

Answer 2

Bony projections occurring at joint edges in osteoarthritis as new bone is laid down in response to injury

Question 3

What is osteoarthritis?

Answer 3

Non-inflammatory, degenerative progressive destruction of cartilage from repeated mechanical forces
Disruption of the chondrocytes prevents rebuilding

Question 4

What are the risk factors for osteoarthritis?

Answer 4

Older age
Women
Obesity
Occupation/sports

Question 5

What are the signs of osteoarthritis?

Answer 5

Proximal Bouchard nodes (PIP joints)
Distal Heberden nodes (DIP joints)

Question 6

What are the symptoms of osteoarthritis?

Answer 6

Painful joints stiff for 30 minutes or less in the morning
Worse throughout the day

Question 7

What is the management for osteoarthritis?

Answer 7

Lifestyle changes
NSAID analgesia
Surgery (last resort)

Question 8

What is the triad that points towards felty syndrome?

Answer 8

Rheumatoid arthritis
Idiopathic neutropenia
Splenomegaly