Osteoarthritis/Degenerative Joint Disease Flashcards Preview

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

Osteoarthritis – commonly seen effects on the hand joints?

Bouchard nodes – PIP
Heberden nodes – DIP

1

Synovitis?

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

2

Gel phenomena?

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

Joint fluid aspiration of a patient with osteoarthritis would show?

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

4

Joints affected in OA?

Joints spared?

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

Wrist, elbow, shoulder, spine

5

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

Osteophytes. Joint space narrowing, subchondral sclerosis, subchondral cysts

6

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?

Bursitis or tendinitis

Inflammatory arthritis

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

7

Non-medical Management of osteoarthritis?

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

Medical management osteoarthritis?

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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