Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
DISH - age of onset
|
The disease usually manifests in patients older than 50 years of age,
|
|
|
DISH - prevalence
|
A prevalence of 25% in men and 15% in women older than 50 years of age
|
|
|
DISH - pathogenesis
|
causative factors may include hyperinsulinemia (with or without diabetes), hypertension, obesity, dyslipidemia, and hyperuricemia.
|
|
|
DISH - ddx
|
ankylosing spondylitis
Squaring of vertebral bodies |
|
|
DISH - appearance
|
candle wax appearance on the anterior aspect of the vertebral bodies usually in the thoracic spine
|
|
|
Ankylosing spondylitis
|
patients are younger. ESR, CRP elevated. Obliteration of the SI joint space
|
|
|
DISH - management
|
BP control, BS control, Lipid control. weight control, lifestyle modification
|
|
|
DISH - ddx
|
osteoarthritis
joint space destruction |
|
|
DISH vs OA
|
atypical non-weight-bearing joints (eg, shoulder, metacarpophalangeal, and elbow joints); hypertrophic ossification with normal joint space; entheseal calcification (calcaneal spurs, peripatellar and cruciate ligament calcification); and iliolumbar, sacrotuberous, and acetabular ligament calcification
|
|
|
DISH
|
characterized by exuberant ossification of ligaments (enthesopathy) in both the axial (predominantly affected) and the appendicular skeleton.
|
|
|
DISH - dx 1
|
Flowing ossification along the anterolateral aspect of at least 4 contiguous vertebrae;
|
|
|
DISH - dx 2
|
Preserved disc height, with absence of significant degenerative changes (marginal sclerosis in the vertebrae)
|
|
|
DISH - dx 3
|
Absence of any significant facet joint ankylosis, sacroiliac erosions, or intra-articular osseous fusion.
|
