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15 Cards in this Set
- Front
- Back
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Most common form of arthritis
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Osteoarthritis
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2nd most common cause of disability
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Osteoarthritis,
(was previously considered a normal variant of aging) |
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Osteoarthritis development
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Abnormal hydration of cartilage,
cartilage ulcerates, cell density of chondrocytes decreases |
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Risk factors for Osteoarthritis
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Obesity - correlates best w/ knee dz,
Higher bone density, Overuse, Previous trauma or inflammatory arthritis, Hereditary |
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Usual joints affected by Osteoarthritis?
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Hips,
Knees, DIP, PIP, MCP of thumbs |
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Clinical presentation of osteoarthritis
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Joint pain + swelling,
Decreased ROM, crepitance, Heberden's Nodes (DIP), Brouchard Nodes (PIP |
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X-ray findings of osteoarthritis
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Joint space narrowing,
Bony sclerosis at joint margins, Osteophytes (NOT SEEN w/ RA!), XR findings do NOT correlate w/ sxs |
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What should be done if effusion is present w/ osteoarthritis?
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If effusion is present, aspirate for cell count, protein, glucose, urate crystals, gram stain
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Why would you want to aspirate the joint if effusion is present?
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especially if it is acute + a single joint - could be septic (but most likely not), but also want to see if it is Gout
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What does kathy think is the best treatment for managing osteoarthritis?
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Exercises
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What can be used for the management of osteoarthritis if the patient is having an acute flare, especially if they have cervical osteoarthritis + causing impingement?
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Steroids (but not for long term use)
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What should you remind pts about intraarticular steroids?
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It will get worse before it gets better; pt must take them for a long time before they are useful (but they are safer than systemic steroids; good for knees)
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What is kathy's usual DOC for osteoarthritis? And does she tell her subjects about it?
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Tylenol - she tells them to take it routinely whether they feel they need it or not; max in older adult per day = 3 grams
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What does kathy says is rarely used for the management of osteoarthritis?
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NSAIDs (but if do, use short acting + v rarely)
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When does kathy say a joint replacement surgery may be suitable for a pt with osteoarthritis?
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If just they just have 1 or 2 joints effected (esp. if knees) - a joint replacement surgery is much safer for most pts than taking 60 yrs of meds :)
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