Term
|
Definition
| A functional illness. Diagnosis based on clinical criteria |
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Term
| Fibromyalgia: DX criteria |
|
Definition
1. Negative lab tests
2. Gender/age: middle aged women
3. widespread pain, upper, lower, bilateral
4. Pain in 11 out of 18 tender points on palpation |
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Term
|
Definition
| theory: After high stress: car accident, etc, pain threshold is lowered and all normal stresses show up as pain |
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Term
|
Definition
| Most common articular disease |
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|
Term
| Osteoarthritis (degenerative joint disease) |
|
Definition
| Most common type of arthritis. |
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|
Term
| Osteoarthritis: Pathophys |
|
Definition
| Degeneration of cartilage in joint. Less protection causes pain. Bones undergo abnormal changes. Body tries to repair- cartilage doesn't regen well- forms and osteophyte=bone spur. |
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Term
|
Definition
| Usually starts in mid-late 30s. |
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|
Term
| Osteoarthritis target sites |
|
Definition
| Hand (esp female), hip, knee |
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Term
|
Definition
| From trauma: skiing, gout... |
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|
Term
| Hand Osteoarthritis: age, gender |
|
Definition
| Usually postmenopausal females. |
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|
Term
| Hand Osteoarthritis: Risk factors |
|
Definition
|
|
Term
| Hand Osteoarthritis: Signs |
|
Definition
| Heberden's nodes, Bouchard's nodes |
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Term
|
Definition
| Calcium, other deposits that form in DIP joints |
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Term
|
Definition
| Calcium and other deposits that form in PIP joint. |
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|
Term
| Hand Osteoarthritis:diagnosis |
|
Definition
| Nodes. Only involves DIPs and PIPs. |
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Term
| Hip and knee Osteoarthritis: presentation |
|
Definition
| gradual insidious onset. Minimal inflammation. |
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|
Term
| Hip and knee Osteoarthritis:prognosis |
|
Definition
| Leads to disability: problems walking or need joint replacement. |
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|
Term
|
Definition
| DOesn't involve much inflammation of joint (arthritis) |
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|
Term
| Hip and knee Osteoarthritis: Risk factors |
|
Definition
| Obesity (weight exerts greater force on joint exponentially), family hx, age. |
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|
Term
| Hip Osteoarthritis:Diagnosis |
|
Definition
| Pain in hip joint at inguinal line. Sometimes directly behind. Can refer downwards. Decreased range of motion. |
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|
Term
| Hip and knee Osteoarthritis: Treatment |
|
Definition
Weight loss and strengthening supporting muscles slow progression.
No one drug is shown to decrease or slow progression of the disease. Tx is used to reduce pain. |
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Term
| Hip and knee Osteoarthritis: Drug treatment |
|
Definition
Tylenol- less toxic than NSAIDs
Corticosteroid injections in joint
Hyaluronic acid analogue injected in joint
Joint surgery (arthoplasty)
Topical NSAIDs |
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|
Term
| Hip and knee Osteoarthritis:Non drug treatment |
|
Definition
Weight loss, strengthening supporting muscles (quads)
Glucosamine: decrease pain, slower than NSAIDs, longer lasting.
Sam E: Reduces pain
Capsaicin: For hands, applied topically
Acupuncture
Physical therapy |
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|
Term
| Knee Osteoarthritis: Presentation |
|
Definition
| Gradual insidious onset, minimal inflammation |
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