Osteoarthritis/Degenerative Joint Disease Flashcards Preview

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Flashcards in Osteoarthritis/Degenerative Joint Disease Deck (9)
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0
Q

Synovitis?

A

Inflammation of the joint space characterized by redness, swelling, and tenderness

1
Q

Osteoarthritis – commonly seen effects on the hand joints?

A

Bouchard nodes – PIP

Heberden nodes – DIP

2
Q

Gel phenomena?

A

15 to 30 minutes of joint stiffness after inactivity (usually in the morning)

In contrast, in rheumatoid arthritis, morning stiffness lasts 1 to 2 hours

3
Q

Joint fluid aspiration of a patient with osteoarthritis would show?

A

Lack of inflammation: WBC < 45, glucose equal to serum

4
Q

Joints affected in OA?

Joints spared?

A

DIP, PIP, CMP of thumb, knee, hip, feet

Wrist, elbow, shoulder, spine

5
Q

Most specific finding of osteoarthritis? Other x-ray findings?

A

Osteophytes. Joint space narrowing, subchondral sclerosis, subchondral cysts

6
Q

Periarticular pain that is not reproduced with passive movement suggests?

Prolonged pain that lasts for more than one hours suggests?

Joint pain with systemic constitutional symptoms suggests?

A

Bursitis or tendinitis

Inflammatory arthritis

Inflammatory condition (polymyalgia rheumatica, RA, SLE, malignancy)

7
Q

Non-medical Management of osteoarthritis?

A
  1. Stay active – not using joint causes further immobility
  2. Short periods of rest >1 large period of rest
  3. Apply heat to affected joint
8
Q

Medical management osteoarthritis?

A

NSAIDs – anphetamine first choice. Can use COX-2 inhibitors in patients without cerebrovascular disease

Intra-articular steroids helpful for rare inflammation of “locked up” joint

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