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Flashcards in Osteoarthritis Deck (8)
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1
Q

What is osteoarthritis? (3)

A

Non-inflammatory joint pain caused by
imbalance in cartilage destruction by wear
and production by chondrocytes

2
Q

What are the risk factors for osteoarthritis? (5)

A
Age
Female
Occupation (manual labour, farming, sport)
Genetics
Obesity (low-grade inflammatory state)
3
Q

What are the symptoms of osteoarthritis? (4)

A

Sharp ache/ burning pain (WORSE w ACTIVITY)
Morning/ end of day stiffness (< 30mins)
NSAIDs don’t usually help
Functional impairment: walking, activities of daily living

4
Q

What are the signs of osteoarthritis? (3)

A

Asymmetric joint pain
Bony swelling: Bouchard’s (PIP), Heberden’s (DIP)
Alteration in gait

5
Q

How would you investigate osteoarthritis and what would you see? (5)

A
X-ray: LOSS
Loss of joint space
Osteophytes
Subchondral sclerosis
Subchondral cysts
6
Q

How would you manage osteoarthritis non-pharmacologically? (4)

A

Weight loss
Exercise
Physical therapy
Walking aids

7
Q

How would you manage osteoarthritis pharmacologically? (3)

A

Analgesic ladder
NSAIDs/ opioids
Hyaluronic acid injections (if other pain relievers don’t work)

8
Q

How would you manage osteoarthritis surgically?

A

Joint replacement - hips, knees