Flashcards in LOCOMOTOR Deck (127)
what is the prevalence of gout?
which gender is most commonly affected by gout
what are the name of the deposits in gout and what are they made of?
crystalised uric acid (tophi) forming sodium monourate crystals
which joint is most commonly affected by gout?
first metatarsalphalyngeal joint
what is the cause of primary gout?
diet - chronic hyperuricaemia
give 3 causes secondary gout?
Chemotherapy = break down of tumour causes increase in uric acid
low dose of aspirin
how long do gout attacks normally last?
what 2 symptoms often accompany pain in gout?
give 5 factors which may precipitate an attack of gout
excess food or starvation
starting a diuretic
what kind of microbiological analysis might you carry out on a patient with gout?
synovial fund microscopy
which of these blood markers would NOT be raised in a patient with gout?
a) uric acid
c) eGFR - would be LOWERED
why should allopurinol be started with naproxen at the start of gout treatment?
may cause an attack at the start
give a complication of gout
Recurrent and advanced attacks of gout
what is the most common joint condition in the UK?
what is the classic phrase to describe the damage which causes osteoarthritis?
wear and tear
what structures are inflamed in osteoarthritis?
whole structure including synovium
what familial gene mutation can contribute to the formation of osteoarthritis?
collagen type 2
which ethnicity is more likely to get hip and knee osteoarthritis?
d) native american
give 4 risk factors for development of osteoarthritis
previous joint injury
congenital joint dysplasia
at what point in the day is the pain of osteoarthritis worse?
end of day
where are bouchard's nodes?
where are heberden's nodes?
does osteoporosis normally affect just one or multiple joints?
give an audible sign present on examination of joints with osteoarthritis
give 2 things that can cause the loss of bone space characteristic of osteoarthritis?
give 2 examples of blood markers that could be raised in inflammatory osteoarthritis
what type of microbiological investigation might you perform if a patient suspected osteoarthritis?
synovial fluid microscopy
give 2 types of drug which might be given for the pain in osteoarthritis
Topical Capsaicin cream for knee and hip
how common is prolapsed disc in the UK?