Unit 2: 2 - Osteoarthritis Flashcards

(44 cards)

1
Q

What is a diarthrodial joint?

A

Joint where 2 bones come together

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2
Q

What does poor joint lubrication result in?

A

Increased friction

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3
Q

What is synovial fluid?

A

A dialysate of blood

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4
Q

What are 2 functions of synovial fluid?

A
  1. Lubrication
  2. Nutrition to the articular cartilage
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5
Q

What is the chief glycosaminoglycan (GAG)?

A

Hyaluronic acid (HA)

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6
Q

What are 3 features of HA?

A
  1. High molecular weight
  2. Prevents dilution
  3. Provides viscosity
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7
Q

What can occur if HA is low in quality and quantity?

A

Osteoarthritis

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8
Q

How much of articular cartilage is made up of water?

A

70-80%

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9
Q

What is the green arrow pointing to?

A

Hyaluronic acid backbone of articular cartilage

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10
Q

What is contained in the blue oval?

A

Proteoglycan complex

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11
Q

OA is aberrant _____ and _____ of articular cartilage.

A

repair, degradation

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12
Q

OA consists of bone formation called _____ at the _____ margins.

A

osteophytosis, synovial

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13
Q

OA results in ___articular fibrosis.

A

peri

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14
Q

The vast majority of OA in dogs is _____ OA.

A

secondary

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15
Q

T/F: There is NO cure for OA

A

True

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16
Q

What happens once OA starts?

A

it will progress

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17
Q

Do radiographic signs for OA correlate with clinical function?

A

No

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18
Q

What should you treat with secondary OA?

A

The primary cause

19
Q

What should be decreased when there is secodary OA?

A

The inflammatory response

20
Q

What should we do regarding cartilage in secondary OA?

A

Maintain cartilage health

21
Q

What are 4 ways to medically manage OA?

A
  1. Weight management
  2. Exercise moderation
  3. Chondroprotectives
  4. Pain management
22
Q

What are 2 things that we can do to moderate exercise in a pet with OA?

A
  1. Controlled exercise
  2. Low-impact (leash-walking, swimming)
23
Q

What are 6 chondroprotectives we can use in OA?

A
  1. Glucosamine
  2. Chondroitin sulfate
  3. Manganese ascorbate
  4. Avocado/soybean unsaponifiables (ASU)
  5. MSM
  6. Omega 3 fatty acids
24
Q

How long should chondroprotectives be given?

A

Give for 6 weeks and continue if working

25
Glucosamine is a precursor to \_\_\_\_\_.
GAGs (HA)
26
What role does glucosamine have?
1. Formation and repair of cartilage 2. Free O2 radical scavenger 3. Anti-inflammatory (weak) 4. Stimulates HA synthesis
27
What are the 3 functions of chondroitin sulfate?
1. Inhibits MMPs 2. Stimulates GAGs and collagen synthesis 3. Responsible to resiliency of cartilage
28
What is adequan made from?
bovine tracheal cartilage
29
How is adequan used and what does it do?
IM injection 2x/week for up to 4 weeks; Slows cartilage degradation
30
What is hyaluronan used for?
Intraarticular injection that is used more for large animals
31
What is the most common side effect of NSAIDs?
GI upset
32
You should NEVER use NSAIDs with \_\_\_\_\_.
steroids
33
Before using NSAIDs, you should check for _____ or _____ disease.
liver, kidney
34
How many NSAIDs can be used at one time?
1
35
How many days should the wash-out be between NSAIDs?
4-7 days
36
How many days should the wash-out be for aspirin and why?
7-10 days; It binds platelets and 7-10 days is the lifespan of a platelet
37
What dose should be used with an NSAID?
Lowes effective dose
38
What is the goal for NSAID use?
To wean patient off NSAIDs with use of other medical management modalities (need to periodically check bloodwork on chronic NSAID users)
39
What does micropicking cartilage allow for?
Blood flow from subchondral bed and encourages fibrocartilage formation
40
What are the 2 types of inflammatory OA?
Erosive (rheumatoid) vs. non-erosive
41
What type of OA is involved typically with multiple joints?
Nonerosive Immune-Mediated Polyarthritis (IMPA)
42
What type of arthritis has the least total cell count? The most?
Least = OA (2-5) Most = infective arthritis (40-267)
43
What type of arthritis has the highest % of mononuclear cells? The least?
Highest = OA (88-100%) Lowest = Infective (1-10%)
44
What type of arthritis has the lowest % of NPs? Highest?
Lowest = OA (0-12%) Highest = Infective (90-100%)