Osteo And Rheumatoid Arthritis Notes
This is a sample of our (approximately) 3 page long Osteo And Rheumatoid Arthritis notes, which we sell as part of the Rheumatology Notes collection, a MBChB (hons) (1st) package written at University Of Leicester in 2014 that contains (approximately) 20 pages of notes across 6 different documents.
The original file is a 'Word (Docx)' whilst this sample is a 'PDF' representation of said file. This means that the formatting here may have errors. The original document you'll receive on purchase should have more polished formatting.
Osteo And Rheumatoid Arthritis Revision
The following is a plain text extract of the PDF sample above, taken from our Rheumatology Notes. This text version has had its formatting removed so pay attention to its contents alone rather than its presentation. The version you download will have its original formatting intact and so will be much prettier to look at.
Osteoarthritis A progressive degenerative condition of the synovial joints characterized by cartilage loss and accompanying peri-articular bone response. Females>Males Usually >50 years Risk Factors Female, obesity, high bone density, trauma, occupation, genetic factors Pathogenesis 1) Progressive cartilage damage results in loss of cartilage 2) Reactive bony hypertrophy adjacent to cartilage loss = osteophytes 3) Underlying subchondral bone may remodel leading to subchondral cyst formation + sclerosis Classification
- Primary OA (most common)
- Secondary OA (2nd to trauma, inflammatory arthritis, metabolic disorders) Clinical features (symptoms)
- Joint pain o Agg. By activity relieved by rest o Worse at end of day o Interferes with sleep
- Stiffness o Minor in morning, reoccurs following periods of rest (swelling)
- Loss of function
- Limitation of movement
- Joint instability
- Joint effusion
- Muscle wasting Heberden's nodes over DIPJs Bauchard's nodes over PIPJs
Joints most affected
- C + L spine Investigations CRP mildly elevated Plain radiograph
- Weight loss
- Orthotic devices (insoles, sticks)
Loss of joint space Subcondral sclerosis Subchondral/periarticular cysts Osteophytes Pharmacological
- Analgesics (work up)
- Capsaicin cream - topically applied) Intra-articular injections
- Corticosteroid + LA Surgery
- Arthroscopy + washout
- Joint replacement (excellent outcome in 95%) Function > 15yrs. Loss of pain.
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