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13 Cards in this Set

  • Front
  • Back

Infectious osteoarthritis, is usually (monoarticular/polarticular)

monoarticular



(if more than one joint usually septic and 50% mortality)

The most important factor in determining cause of infectious OA is ........

source

Crystalline OA is usually due to .......

underlying disorder;



gout- uric acid


pseudogout- calcium phosphate


milwaukee shoulder- basic calcium deposit

________ is very important in OA to maintain function and decrease pain

exercise (especially swimming)

DOC for OA

acetaminophen (tylenol)

_______ may be given in combination with acetaminophen to control pain in OA

NSAIDs

T/F


All NSAIDS increase cardiovascular risk

TRUE



__________ may also be added to relieve pain, this drug effects opiod & serotonin (narcotic)

Tramedol

When are the 2 scenerios where total joint replacement is indicated in OA?

1. Pain unresponsive to medical treatment


2. Loss of function prevents ADLs

OA: Dx

physical & history

Joint effusions can be used to classify the type of OA:

noninflammatory: clear/yellow most viscous, 200- 2000



inflammatory: cloudy/yellow, 2000-100,000



septic: purulent, least viscosity, >50,000



(normal joint fluid is clear/colorless, viscous w/ < 200 leukocytes)

OA: risk factor

over 70 (70% have OA)


female


obesity (wieight bearing joints)


hereditary


trauma


neuromuscular dysfunction


metabolic disorders

(OA/RA), pain is minimal in the morning and worsens as the day progresses

OA



(RA is worse in morning*)