Paget disease/OA and RA/Ankylosing spondylitis Flashcards
(20 cards)
Progressive metabolic condition characterized by excessive bone destruction that occurs along with the replacement of bone by fibrous tissue and abnormal bone
Paget
New bone is bigger but week; filled with new blood vessels
Paget
Results in fragile, misshpaen bones
Paget
Bone pain, skeletal deformities, fractures, warmth over affected bone, hypercalcemia
Paget
Degenerative joint disease characterized by local deterioration of articulating cartilage and underlying bone as well as bony overgrowth
Osteoarthritis
Not inflammatory in origin, but inflammation results from the tissue irritation
Osteoarthritis
idiopathic/excessive mechanical stress on the joint
Osteoarthritis
Joint pain/tenderness/stiffness/swelling, enlarged joints, limited ROM, hard nodules around the affected joint (bone spurs) Heberden’s and Bouchard’s nodes
Osteoarthritis
Systemic autoimmune condition involving multiple joints
Rheumatoid arthritis
Inflammatory process primarily affects the synovial membrane but can also affect other organs
RA
joint pain, fatigue, low- grade fever, morning stiffness lasting more than 1 hour, warm/tender/stiff joints when not used, joint deformity (boutonniere and swan-neck)
RA
Is there a cure for RA?
No
Progressive inflammatory disorder affecting sacroiliac joints, intervertebral spaces, and costovertebral joints
Ankylosing spondylitis
Inflammation starts in the vertebral joints of the lower back at the sacroiliac joints and progresses up the spine
Ankylosing spondylitis
New bone forms in an attempt to remodel the inflammatory damage
Ankylosing spondylitis
REsults in joint fibrosis and calcification
Ankylosing spondylitis
Joints become ankylosed (fixed)
Ankylosing spondylitis
Vertebrae appear square, and the vertebral column becomes rigid and loses curvature
Ankylosing spondylitis
Genetic seems to play a role in development (HLA-B27 gene is present in most cases)
Ankylosing spondylitis
Intermittent lower back pain (early), pain, stiffness, lower back pain
Ankylosing spondylitis