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11 Cards in this Set

  • Front
  • Back
What is Rheumatoid arthritis?
Systemic inflammatory disease of connective tissue, affecting women more than men and incidence increases with age.
What is the cause of RA?
80% have Rheumatoid factor antibody directed against synovial membrane (IgG/M) in blood.
What are contributing factors of RA?
Genetic disposition, virus, HLA-DR4.
What is the pathogenesis of RA?
RF in blood, synovial fluid, and synovial membrane. It forms immune complexes which activate complement system->inflammation
What is Pannus?
Destructive vascular granulation tissue involves synovium
What are the clinical manifestations of RA?
Exacerbations and remissions.
Four or more of the following conditions must be presentto establish a diagnosis of rheumatoid arthritis:
1.Morning stiffness for at least 1 hour and presentfor at least 6 weeks
2.Simultaneous swelling of three or more joints forat least 6 weeks
3.Swelling of wrist, metacarpophalangeal, or proxi-mal interphalangeal joints for 6 or more weeks
4.Symmetric joint swelling for 6 or more weeks
5.Rheumatoid nodules
6.Serum rheumatoid factor identified by a methodthat is positive in less than 5% of normal subjects
7.Radiographic changes typical of rheumatoid arthritison hand or wrist radiographs.
What is osteoarthrits?
Degenerative joint disease (the most common form of chronic arthitis).
What are the patho/characteristics of osteoarthritis?
Loss of articular/joint cartilage and associated inflammation of the synovial membrane secondary to use/abuse of joint.

Increases with age.
What is the cause of osteoarthritis?
Idiopathic; may be primary or secondary to injury.
What is the manifestations of osteoarthritis?
unilateral, asymmetric pain that tends to improve throughout the day. Crepitus. More common in hands in women, more common in knees and hips in men.
What is crepitus?
A grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone.