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23 Cards in this Set
- Front
- Back
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risk factors for osteoarthritis
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genetic
age sex trauma obestiy generalized ligamentous laxity bone density |
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most common non-rheumatic disease
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osteoarthritis
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prevelance of osteo increases with what
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age
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OA is almost universal where
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in people over 65
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hand pain, stiffness, or aching and 3 or 4 of what
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hard tissue enlargement of 2 or more of 10 selected joints
hard tissue enlargement of 2 or more DIP joints fewer than 3 swollen mcp joints deformity of atleast 1 of 10 selected joints |
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10 selected joints
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2nd and 3rd DIPJ B/L
2nd and 3rd PIPJ B/L 1st carpometacarpal jt B/L |
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knee pain plus at least 5 of 9
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age>50
stiffness<30 min crepitus bone tenderness, enlargement no palpable warmth ESR<40mm/hr RF<1:40 SF OA |
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sensitivity and specificity with knee pain
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92 sensitivity
75 specificity |
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hip pain and atleast 2 of 3
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ESR<20mm/hr
radiographic femoral or acetabular osteophytes radiographic joint space narrowing |
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sensitivity and specificity with hip pain
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sensitivity 89
specificity 91 |
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clinical features of OA
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joint pain and crepitus
pain increase with activity decrease with rest joint enlargement limitation in motion instability functional impairment muscle atrophy |
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what flares may be seen
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acute inflammatory flares
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heberdens nodes
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seen at DIPJ
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bourchards nodes
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seen at PIPJ
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radiographic features of OA
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irregular joint space narrowing
marginal osteophytosis subchondral sclerosis subchondral cyst formation ankylosis is uncommon |
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is there osteoporosis in OA
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not unless disuse is present
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use of labs in OA
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primarily used to rule out other options
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diagnosis of OA
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radiographic and H&P
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associated diseases to OA
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primary generalized OA
erosive OA diffuse idiopathic skeletal hyperostosis (DISH) |
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where is erosive OA primarily seen
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in the hands
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where is DISH seen
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flowing ossification along anterolateral vertebral bodies
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treatment for OA
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physical therapy
analgesics and antiinflammatory meds cortisone injections orthoses artificial joint fluid distraction and mobilization |
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surgical options for OA
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cheilectomy
arthroplasty with or without prostheses arthrodesis |
