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22 Cards in this Set
- Front
- Back
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Define arthropathy.
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Disease of joint
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Therapy of arthropathies depends on what two criteria?
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1. Noninflammatory vs inflammatory
2. Noncrystalline vs crystalline |
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What percent of patients with radiographic OA changes have pain?
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Less than half.
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OA is developed when?
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1. When cartilage/bone are abnormal
2. Excessive load on the joints causes the tissues to fail. |
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Primary OA?
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Idiopathic
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Secondary OA?
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Resulting from prior history of trauma/disorder/disease
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RA affects whom?
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Mostly women btw 25-55
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Initial pathologic events of RA is due to what?
What does this result in? x3 |
Activation and/or injury to synovial endothelial cells.
1. Synovial edema 2. Neutrophil infiltration 3. Joint effusion |
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Where would you find pannus and what does it do?
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In the joint of someone with chronic, progressive RA.
Pannus releases metalleoproteinases, which erode bone and cartilage. |
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OA Hx
- Inflammation? - Morning? - Constitutional symptoms? |
Joint pain without swelling, warmth or redness
Morning stiffness less than hour NO constitutional symptoms (fever, malaise, fatigue). |
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OA exam:
- Ill appearing? - Bony Joint? - Joint tenderness/ROM? |
Not ill appearing
Bony joint enlargement Joint tenderness with passive ROM |
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RA Hx
- Inflammation? - Morning? - Constitutional Symptoms? |
Symmetric joint swelling, warmth, redness
Morning stiffness greater than 1 hour May or may not have constitutional symptoms Difficulties with ADL |
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RA exam:
- Ill appearing? - Joint/ROM? - Other x3 |
Ill appearing
Swelling, redness, warmth, and pain - Limited ROM Ulnar deviation, boutonniere, and swan neck deformity |
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OA labs?
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Labs usually normal
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RA labs?
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Abnormal labs.
- Anemia - Increased PLT - Increased ESR - Increased C-reactive protein - Increased immunoglobulin concentration - Rhuematoid factor |
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Besides RA, what diseases have positive RF factor?
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Bacterial
Viral Parasitic Liver disease etc |
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Does OA or RA have synovitis?
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Not OA, but RA does
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What joints are spared with OA?
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Wrist, Ankles, MCP
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What joints are spared with RA?
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T/L/S spine, DIP, CMC
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What is goal of OA management?
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Relieve symptoms and thus maintain ADL.
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What is an effective managment of OA? x4
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1. PT/OT
2. Analgesia 3. Visco-supplementation ($$) 4. Surgery |
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What is an effective management of RA? x2
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1. Analgesics
2. Anti-inflammatory |
