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Quiz 3 Fundamentals > chronic pain and disorders > Flashcards

chronic pain and disorders Flashcards

1
Q

what is osteoarthritis

A
  • wear and tear arthritis

- non inflammatory, slowly progressive

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2
Q

what is OA caused by

A

deterioration of articular cartilage in synovial joints and vertebrae
-wearing of articular cartilage until bone to bone

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3
Q

what type of joints does OA affect

A

weight bearing joints

  • not systemic
  • hands, hips, knees, spin
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4
Q

is OA symmetrical or unsymmetrical

A

unsymm

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5
Q

joint pain is caused by what in OA

A

grating of bone, bone spurs(osteophytes), sclerosis of joint

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6
Q

who is affected by OA

A 
older age 40+
repeated injuries
overweight
genetics
manual labor
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7
Q

Signs and Symptoms of OA - OSTEO

O

A

outgrowths boney

  • heberden (distal join - top joint by finger nail)
  • bouchard (proximal joint - closest to knuckle)
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8
Q

Signs and Symptoms of OA - OSTEO

S

A

Sunrise Stiffness less than 30 minutes

-pain and stiffness worse at the end of the day

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9
Q

Signs and Symptoms of OA - OSTEO

T

A

Tenderness on joint site - bone spurs (osteophytes)

-no warmth or redness

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10
Q

Signs and Symptoms of OA - OSTEO

O

A

only joints not systemic

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11
Q

What is RA

A

rheumatoid arthritis

due to immune system attacking the synovium (within the joint)

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12
Q

What does RA affect

A

joints and other systems

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13
Q

Most common places for RA

A 
fingers
wrists
neck
shoulders
elbows
knees
ankle
feet
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14
Q

is RA symmetrical or unsymmetrical?

A

symmetrical

if right wrist has it, so does left wrist

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15
Q

How is RA systemic?

A

fever, anemia, hear, lungs

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16
Q

Causes of RA

A

unknown

affect woman more than men

17
Q

Age range for RA

A

20 - 60

18
Q

What happens when you have RA

A

WBC attack synovium and inflame

19
Q

What is the inflammation called in RA

A

synovitis

joints are red, warm, soft, boggy

20
Q

Side effects of OA

A

extreme stiffness
limited mobility
pain

21
Q

Signs and Symptoms of RA - Seven S’s

1 - sunrise stiffness

A

Sunrise Stiffness > 30min

22
Q

Signs and Symptoms of RA - Seven S’s

2 - what does the joint look and feel like

A

Soft, tender, warm joint

23
Q

Signs and Symptoms of RA - Seven S’s

3-What happens to joint

A

swelling in joint

24
Q

Signs and Symptoms of RA - Seven S’s

4-symmetry

A

symmetrical

25
Q

Signs and Symptoms of RA - Seven S’s

5 - what is inflamed

A

Synovium

26
Q

Signs and Symptoms of RA - Seven S’s

6 - What else does it effect?

A

systemic

synovium

27
Q

Signs and Symptoms of RA - Seven S’s

7 - 3 stages

A

Synovitus (inflammation of synovium)
Pannus - layer of fibrous tissue, can grow so large that it can damage bone and hyalin cartilage
Ankylosis - bones fuse together

28
Q

How to determine if you have OA

A

x - ray –> shows bone

decrease in join space, bone spurs, sclerosis of bones, decrease in bone integrity

29
Q

Systemic manifestations of RA

A

fatigue, anorexia, weight loss, low grade fever, anemia, lymph node enlargement, raynaud’s phenomenon

30
Q

RA testing - blood

A

+ rheumetoid factor
increased erythrocyte sedimentation
+ c-reactive protein

31
Q

RA testing - x-ray

A

joint deterioration

32
Q

RA uses DMARDs for treatment not OA

A

anti rheumetic drugs
NSAIDS
COX-2 inhibitors`

33
Q

What is fibromyalgia

A

chronic pain syndrome characterized by diffuse musculoskeletal achiness (not joints), stiffness, fatigue, exaggerated tenderness at 18 specified tender points

34
Q

Who does fibromyalgia affect the most

A

woman

8:1 women to men

35
Q 
Fibromyalgia
ATP&ADP in muscles
Blood flow in thalamus
serotonin and endorphins
substance P in spinal cord
A
  • decreased ATP & ADP
  • less blood flow
  • lower serotonin and endorphins
  • higher substance P (mood regulation/sleep/pain)
  • abnormal processing of sensory input with magnified pain sensation in mucles skin and in general
36
Q

How is fibromyalgia brought on

A
  • viral infection
  • chronic stress
  • chronic fatigue syndrome
  • HIV, Lyme
  • physical trauma
  • chronic sleep disturbance
37
Q

treatment of fibromyalgia

A 
NSAID
anti-convulsants 
anti depressant
SSRI
Tramadol

Quiz 3 Fundamentals (5 decks)

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