OA, RA, Gout, Lupus, Sleep Apnea, Dizziness Flashcards
(34 cards)
Common sites for OA?
DIP, PIP, CMJ, great toe, hips, knees
Vertebral sites for OA?
C5, T8, and L3
Physical examination of fingers?
Huberden’s Nodes (DIP) and Bouchard’s Nodes (PIP)
Physical findings for hand OA?
No welling over joint, minimal tenderness, reduced passive and active ROM
Diagnosis of OA?
Largely clinical, but x-ray may show thinning of of the internal joint space
Complimentary treatment for OA?
Physical therapy, exercise, weight loss
Treatment for hand OA?
Topical capcasin, topical NSAID, oral NSAID, tramadol
Treatment for Knee OA?
Oral NSAID, topical NsAID, Tramadol, IA injection
Treatment for hip OA?
APAP, oral NSAID, tramadol, IA injection
Consitutional symptoms of RA?
Alaise, wieght loss, low grade fever
Symptoms of RA?
Peripheral symmetric polyarthritis >1 hour, warm, tender to palpation
What is a Boutonniere Deformity?
PIP is in a state of continuous flexion
Labs for RA?
Anti-CCP, ESR, C-reactive protein, RA, ANA antibodies, antiphospholipd antibodies, consider parvovirus, lyme disease, and hepatitis
-X-rays to monitor progress of disease
What shouldn’t you do for RA?
Start corticosteroid right before seeing rheumatologist.
What do patient’s need who take methotrexate?
Folic acid supplementation
Who manages RA?
Rheumatologists
Precpitating factors of gout?
Metabolic syndrome, alchol intake, lots of protein intacke
Drugs that cause gout?
Diuretics, salicylate, niacin, cyclosporine, levodopa
PE for gout?
Tophi in pinnae, olecranon tips, distal joints of hands and feet, helix and antihelix
What’s the only way to make a definitive diagnosis of gout?
Joint aspirate with sodium rate crystal
What’s the usual serum concentration for gout?
7.5 or greater
What should you consider with acute gout?
Acute septic arthritis
Mediations for gout?
Indomethacin 50 mg q 8 hours until pain decreases
- Colchicine 1.2 mg and then .6 mg every hour
- Steroids
Medications to prevent gout?
Probenecid and allopurinol
