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Flashcards in joint pain Deck (15):
1

ddx joint pain

Rheumatoid arthritis, osteoarthritis, meniscal tear (med/lat), tendonitis, (use-->)osteosarcoma, lupus, gout, bursitis, rheumatic fever (GAS), hip fracture, synovitis, septic arthritis (staph, gonorrhea), cong. hip dysplasia, slipped capital femoral, Paget's disease, capsulitis, psoriasis, fibromylagias, med side effect

2

80 yo obese man, chronic B/L knee pain 2 yrs duration

osteoarthritis

3

55 yo woman 6 mod pain in hands, worse in morning (stiffness) "shakes it out after coffee"

rheumatoid arthritis

4

Sjogren syndrome

autoimmune, dec. saliva production, joint pain

5

important joints

knees, hips, hands/wrists, elbows, shoulders, TMJ, spine, feet/ankles

6

most joints are

synovial
-freely moving articulations, enclosed by fibrous capsule, membranes secrete serous lubricating synovial fluid

7

important questions for joint pain

Articular or extra-articular?
Single joint or multiple joints?
Joints inflamed or not?

8

differences between rheumatoid and osteo

see chart

9

RA/OA: lab findings

RA: elevated ESR and CRP
OA: normal

10

Reactive arthritis

triad: "can't pee, can't see, can't bend my knee"
HLA-B27+

11

gout vs pseudogout

know observed diffs

12

analyze synovial fluid for

WBC
Gs, Cx, sens
crystal ID by polarized microscopy (gout)

13

RA tx

NSAIDS
Corticosteroids
DMARDS

14

RA deformities

ulnar deviation, subluxation of MCP, swan neck, Boutonniere deformity

15

pedagra?

"king's disease"-->beer/meat-->gout