Osteoarthritis Flashcards Preview

Osteo And Rheum > Osteoarthritis > Flashcards

Flashcards in Osteoarthritis Deck (17)
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1
Q

Who does it typically affect?

A

Women over 50 (women 3 times more likely to get it than men)

2
Q

OA can be classified into what?

A

Primary (generalised) or secondary to another joint disease or condition (obesity, occupational, haemachromatosis)

3
Q

Where does localised disease mainly affect?

A

The hip or knee

4
Q

What are symptoms of localised disease?

A

Pain and crepitus on movement, worse at the end of the day, background pain at rest, stiffness for 30 mins after rest, joint gelling, joint instability

5
Q

Which joints are usually affected by primary (generalised) disease?

A

DIP joints, thumb carpo-metacarpals, knee joints

6
Q

What are the symptoms of primary disease?

A

Heberdens nodes, bouchards nodes, tenderness, derangement, bony swelling, decrease range of movement, mild synovitis

7
Q

What might OA affect in terms of a persons lifestyle?

A

Ability to work, carry out duties, hobbies and life expectations

8
Q

What test is done?

A

Plain XR

9
Q

What would you see on the XR (use LOSS)

A

Loss of joint space
Osteophyte formation
Subchondral cyst formation
Sub articular bone sclerosis

10
Q

List all the factors predisposing an individual to OA…

A

FMH, gender, sport with repetitive movement, occupation (manual), childhood joint disorders, pre existing joint disease, obesity, trauma

11
Q

What is the core treatment (non-pharma)?

A

Exercise to increase local muscle strength, general aerobic exercise, weight loss

12
Q

What is the normal analgesia therapy used?

A

Regular paracetamol and topical NSAIDs,

13
Q

If paracetamol and topical NSAIDs are in effective what would you use?

A

Codeine, oral NSAID and PPI

14
Q

What expensive treatment is as affective as NSAIDs but more expensive?

A

Hylaronic acid/steroid injections

15
Q

What other non-pharma management is useful to employ?

A

Multi disciplinary help, including physios, OTs, walking aids, hot and cold packs

16
Q

If the QoL is severely affected by OA what is the best treatments?

A

Surgical joint replacement

17
Q

What is the most common bone condition?

A

OA