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Muscoloskeletal Pathophysiology - Joint and Bone Disorders
Pathology of the Muscoskeletal system
33
Physiology
Undergraduate 3
12/13/2013

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Cards

Term
What is osetoarthritis?
Definition
Joint and bone disease
Term
(T/F) It is degenerative
Definition
True
Term
What causes it?
Definition
Mechanical stress at articular cartilage causes the subchondral bone to be exposted
Term
What are osteophytes, and how are they involved in osteoarthritis?
Definition
- Bone spurs
- Makes mobility around joint difficult
Term
(T/F) It is systemic
Definition
False
Term
(T/F) The inflammation is localized, and enters the articular space
Definition
True
Term
(T/F) The joint is narrowed in osteoarthritis
Definition
True
Term
What are the 4 signs of osteoarthritis?
Definition
- pain
- limited mobility
- Heberden’s nodes OR Bouchard’s nodes
- crepitus
Term
Where do Heberden's nodes occur?
Definition
At the distal joints of fingers (distal phalanx)
Term
Where do Bouchard's nodes occur?
Definition
At the proximal joints of fingers (proximal phalanx)
Term
Regardless of the location of the node, what does the node manifest as?
Definition
Swelling around the specific joint
Term
List the treatments for Osteroarthritis
Definition
 rest
 glucocorticoids
 analgesics/NSAIDs
 joint replacement
Term
What causes rickets/osteomalacia?
Definition
 insufficient bone mineralization
 Vitamin D deficiency
Term
What can cause a Vit D deficiency?
Definition
- Kidneys not activating vitd
- GI not absorbing calcium therefore vit d not absorbed with
Term
(T/F) Rickets occurs in adults
Definition
False, in children
Term
(T/F) Osteomalacia occurs in adults
Definition
True
Term
What often causes it in adults?
Definition
o malabsorption
o renal disease
Term
What is seen with rickets/osteomalacia?
Definition
Bone softening
Term
What is osteoperosis?
Definition
A decrease in bone mass or density
Term
(T/F) Men are more affected than women
Definition
False
Term
List 2 types/causes of primary osetoperosis?
Definition
- Post-menopausal
- Senile
Term
List the the two causes of secondary osteoperosis
Definition
- Cushing's
- Malabsorption
Term
What is cushings disease, and how does it cause osteoperosis?
Definition
Hyper-cortisol secretion therefore increased signals for degeneration of the bone matrix by cortisol
Term
(T/F) Only the matrix is affected by osteoperosis
Definition
False, both mineralization and matrix are affected
Term
List the risk factors for osteoperosis
Definition
 age
 postmenopausal women
 decreased mobility
 diet
 vitamin D, calcium, protein deficiency
 smoking
 caffeine
 drugs
 glucocorticoids, antacids, chemotherapy
Term
What are the symptoms of osteoporosis?
Definition

- Cancellous (spongy) bone lost faster than cortical bone

- Compression fractures

- Kyphosis

Term
Where are the compression fractures common seen?
Definition
- Vertebrae
- Femoral neck
Term
List the treatments for Osteoperosis
Definition
 dietary supplementation
 bisphosphonates
 exercise
 estrogen replacement therapy
 calcitonin
 strontium ranelate
Term
What two thing sare used in dietary supplementation?
Definition
Calcium and vitamin D
Term
What is the function of bisphosphates?
Definition
Prevents osteoclast resorption
Term
What are SERMs? What role do they play in estrogen replacement therapy?
Definition
- Estrogen receptor modulators
- Mimic the useful affects of estrogen
Term
What does calcitonin do?
Definition
Promotes bone growth
Term
What does strontium ranelate do?
Definition
Increases OPG therefore inhibiting bone resorption
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