LG3.4 Arthritis I – Dr. Winfield Flashcards Preview

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Flashcards in LG3.4 Arthritis I – Dr. Winfield Deck (24):
1

What are Articular symptoms?

-Decreased Active/Passive ROM
-Pain provoked by movement
-Heat, swelling, erythema/redness
-Symmetrical polyarticular

2

Define Monoarticular

One joint

3

Define Polyarticular

Multiple joints

4

Chronic vs Acute

Chronic- Greater than 6 weeks
Acute- Less than 6 weeks

5

What are the components of Synovial Fluid analysis?

-Cell Count
-Gram stain
-Culture
-Crystal Identification

6

What is the cell count of leukocytes for a positive septic joint?

100,000/uL with 90% neutrophils

7

Characteristics of Inflammatory (Rheumatoid Arthritis)?

-Waxing and waning disease activity
-Morning stiffness
-Improvement with use
-Systemic symptoms ( fever or malaise)

8

What disease is non-inflammatory?

Osteoarthritis

9

What are general characteristics of Osteoarthritis?

-Pain after use, improvement with rest
-NO SYSTEMIC SYMPTOMS
-Asymmetric joint involvement
-Affects the weight bearing joints and distal and proximal interphalangeal and first carpometacarpal joints of the hand

10

What is the most common for of arthritis?

Osteoarthritis

11

What are Bouchard nodes

Bony proliferation of the proximal interphalangeal joints

12

What are Heberden nodes?

bony proliferation at the distal interphalangeal joints

13

What are the main locations of OA symptoms?

KNEES, hips, knee, and hands

14

What are the risk factors for OA?

Obesity, occupations, female, trauma, and age

15

What is primary OA?

unknown cause (wear and tear)

16

What is secondary OA?

-Develops due to another condition
-Trauma, metabolic disorders

17

Lab values of Septic Arthritis WBC count?

>100,000, 90%PMN

18

When it comes to rest/movement which improves RA and OA?

RA- MOVEMENT
OA- REST

19

What is the main location of OA?

KNEE

20

Where is RA most common?

MCP, PIP

21

What are common labs of RA?

Increased RF, ACCP, ESR, and CRP

22

What are general characteristics of Septic arthritis?

-Acute
-Fever
-Pain
-Resistant to Passive ROM

23

Is septic arthritis normally polyarticular or monoarticular?

Poly-articular

24

What are risk factors for septic arthritis?

-immunocompromised, IV drug user
-Bite, thorn