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26 Cards in this Set
- Front
- Back
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What are 5 characteristics of gout arthritis
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asymmetric
tophi punched out erosion overhanging edges bone destruction |
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Is Gout asymmetric
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yes
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Do patients with gout have normal joint spaces and bone mineralization
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yes
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What are the classic locations for gout of the hand
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all joints of the 1st tarsal/carpals
the DIP of the second digit the PIP and DIP of the 5th digit |
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What arthropathy typically causes punched lesions away from the joint
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gout
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What joints are typically involved in RA
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the MCPs and PIP also the intercarpal joints.
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What area of the carpals is typically affected by RA
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the Ulnar styloid area
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What disease process may present with a bare area
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RA
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Do RA pts typically have a lot of sclerosis
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no, not unless the patient is being treated
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Is RA typically symmetric
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yes
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What are 3 early signs of RA
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osteopenia (bone demineralization)
STS Effusion |
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What are advanced signs of RA
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uniform narrowing
Erosions mal-alignments subluxations |
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What is a surgical intervention used to treat RA
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-fusion
-swanson prosthesis (plastic spacers in joints) -silastic prosthesis |
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What is a potential complication of silastic prosthesis
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there is a possiblity that the patient may develop a synovitis and this leads to lytic destruction of the bone
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What is a typical distribution for CPPD
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2nd and 3rd MCP and radial carpal bones
(occasionally the DIP and PIP) |
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What is the classic sign of hemochromatosis related arthropathy
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drooping osteophytes
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Is drooping osteophytes specific for hemochromatosis
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no, this may be seen in other conditions such as CPPD OA, and hyperparathyroidism
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What are 3 radiographic findings in hemochromatosis related arthropathy
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MCP narrowing
Drooping osteophytes osteopenia |
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What is a SLAC wrist
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Scaphoid-Lunate Advanced Collapse
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What arthropathy is a SLAC wrist typically seen
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CPPD
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What are the radiographic findings for a patient with a SLAC wrist
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-widening of scapholunate articulation
-Capitate migration inferior -Scaphoid lunate ligament tears |
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Besides CPPD what are two other pt that may have a SLAC wrist
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RA and if a patient does a lot of drilling
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Where is the most common location in the wrist to get crystal depostion in CPPD
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lunal-triquetral ligament
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What is the new name for JRA
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JIA (juvenile idiopathic arthropathy)
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What are 7 radiographic findings in juvenile idiopathic arthropathy
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STS
Osteopenia Perosteal rxn overgrown epiphyses premature epiphyseal fusion narrowing erosion |
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Can JIA lead to fusion
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yes in its later stages
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