Athritis
This arthritis involves loss of joint space and osteophyte formation.
osteoarthritis
First-line treatment of OA
Non-drug measures: weight loss and exercise (manipulation if needed)
Drug measures: if required. Topical NSAID (paracetamol infrequently)
This ADL is affected by reduced shoulder range of motion.
Dressing
Which bone articulates with the humerus at the elbow?
Ulna
Joint pain worse with use suggests this type of arthritis.
OA
In this arthritis, Calcium pyrophosphate dihydrate (CPPD) deposit in joints.
Calcium phosphate disease
Intervention shown to reduce pain and improve function in OA.
Exercise (aerobic, strengthening, aquatic), weight management, and physical therapy,
This healthcare professional helps patients adapt ADLs.
Occupational therapist
Which nerve/s go through the different compartments of the forearm
Ant: Median and ulnar
Post: Radial
Symmetrical small-joint involvement points towards what diagnosis? What would it be if it was Asymmetrical?
S: RA
A: Psoriatic
This arthritis often affects DIP joints and can cause nail pitting.
Psoriatic arthritis
Medication class avoided in advanced renal impairment or disease
NSAIDs
Joint stiffness can increase risk of this adverse outcome.
Falls
Muscle that flexes the wrist and fingers.
Flexor digitorum superficialis?
A joint that is hot, swollen, and painful suggests…
Septic RA or Gout
Comorbidities are common in gout patients
Renal impairment, Coronary heart disease, Metabolic syndrome
What 4 drugs/ types of drug should not be offered to people with OA
Paracetamol, glucosamine, strong opioids, intra-articular hyaluronan injections.
This workplace adaptation can help someone with wrist arthritis.
Ergonomic tools, voice to text, breaks
What are the names of the intermediate and deep muscles of the anterior compartment of the forearm
Int.: flexor digitorum superficialis
Deep: flexor pollicis longus, flexor digitorum profundus and pronator quadratus
Most common inflammatory arthritis in men
Gout
What is the pathophysiology of Gout
Uric acid formation
Overproduction of urate OR under-ecretion of urate
Which inflammatory factors predict prognosis of RA (severity markers)
Erosions: Smoking, HLA, DRBI, HAQ, XR damage, RF & anti-CCP, ESR & CRP
Disability: HAQ, female, many joints, nodules, RF, >64 yrs
Mortality: HLA DRBI, HAQ, RF & anti CCP
You are at an increased risk of developing this if you have RA, due to chronic systemic inflammation
Early IHD
TIIDM
Sarcopenia
Hypercholesterolemia
Pain sensitisation
Osteoporosis
Dementia
Name the superficial muscles of the posterior compartment of the forearm
Brachioradialis, Extensor Carpi Radialis Longus and Brevis, Extensor Digitorum Communis, Extensor Digiti Minimi, Extensor Carpi Ulnaris, Anconeus
Most important initial step in suspected septic arthritis.
Joint aspiration