Osteoarthritis
The most common form and simple "wearing out" of cartilage and sometimes bone is called
Osteoarthritis
There are 5 contributing factors for gout listed in our notes. __________, ___________, _____________, Family history, and comorbitities of diabetes mellitus or kidney disease. What are the first 3?
What is Obesity, high intake of purine foods, and excessive alcohol intake?
Female, family history, sedentary lifestyle, smoking, high alcohol and caffeine intake, lack of physical activity or prolonged immobility, low vitamin d/calcium, glucocorticoid use are all contributing factors to osteoporosis. What are the other 2 that weren't listed here?
What are over age 60 and postmenopausal estrogen deficiency?
What bacteria is the most common cause of osteomyelitis?
What is Staphylococci?
Which commonly used medication is used for arthritic pain but will not increase BP?
What is acetaminophen?
Clinical manifestations for osteoporosis include joint edema, tenderness, instability, and deformity as well as localized pain and stiffness, pain that has relief with rest and is worse after activity, crepitus, _________ & __________nodes, skeletal muscle atrophy, limited movement, and excess joint fluid.
what is Heberden's and Bouchard's
What would be present in synovial fluid aspiration that would help diagnose gout?
Uric acid crystals
Patients with osteoporosis may get this spinal deformity and height loss from repeated spinal vertebral fractures called ________ _____?
What is Dowager's hump?
For what disorder does bacteria invade the bone and cause infection and degeneration of the bone?
What is Osteomyelitis?
Name the 2 supplements that are used in medical management for osteoarthritis
What is Glucosamine and Chondroitin Sulfate?
Onset for this disorder is ages ____ to ____
What is 45 to 90
Calculi containing sodium urate deposits and cause inflammation of the big toes and/or other joints are called what?
What is Tophi? (Think my TOes are on PHIre)
Diagnostic tests like CBC, serum calcium, phosphorus, alkaline phosphatase, BUN, Creatinine level, urinalysis, liver and thyroid function tests and radiography studies including DXA scans are used for Dx of osteoporosis. What are the ranges S. calcium, phosphorus, and BUN?
What are S. Calcium- 9-10.5, phos- 3-4.5, BUN-10-20?
What diet would someone with osteomyelitis have?
What is high calorie, protein, and vitamins
This drug is used for gout to decreases urate crystal deposits and the inflammatory process and is the most effective pain reducer in acute attacks.
What is Colchicine?
Overweight people are more at risk for this disorder- this means that maintaining proper BMI is a medical management for osteoarthritis. What is the "normal" BMI range?
what is 18-24.9
How many liters of water a day should you drink to help manage gout?
What is at least 2 liters?
Forward curvature of the spine is called what and is a manifestation of what?
What is Thoracic Kyphosis; osteoporosis
For wound care on someone with osteomyelitis you would irrigate with _______ ________, or antibiotic solution, and then cover with sterile dressing.
What is hydrogen peroxide?
What are some side effects of alendronate/fosamax (a biphosonate for osteoporosis)?
What are jaw pain, blurred vision, dysphagia?
Gait enhancers such as canes and walkers and assistive devices to help with independence and complete ADL's to fullest potential are often used as a medical management of osteoarthritis. What side do you usually use a cane on?
What is the unaffected side?
Name the 7 foods listed in our packet that gout patients should avoid as they are high in purine.
What are alcohol, organ meats, anchovies, yeast, herring, mackerel and scallops?
What should the dietary modifications be for someone with osteoporosis?
What is increased intake of milk and dairy products, green leafy vegetables (Vit. K), low sodium, moderate fiber?
You my suspect osteomyelitis if a patient comes in complaining of bone pain that is ________, _________, __________, and worse with movement.
What is constant, pulsating, localized?
Which long-term use, IV, broad spectrum antibiotic is often used as medical management of osteomyelitis?
What is Keflin IV?