Term
| What is OA characterized by? |
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Definition
| Thinning and destruction of the hyaline cartilage of joints, followed by remodeling of underlying bony surfaces. |
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Term
| What are the clinical features of OA? (4) |
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Definition
| tenderness of joints after sustained use, inflammation, pain in the AM, crepitus |
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Term
| What joints are more frequently involved in obese people? |
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Definition
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Term
| What joints in the hand are most affected by OA? |
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Definition
| Osteophytes on DIPs and PIPs. (MCPs and wrist usually spared) |
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Term
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Definition
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Term
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Definition
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Term
| What foot joint is most commonly affected by RA? |
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Definition
| First MTP (results in hallux valgus) |
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Term
| If there's OA of patellofemoral joint, what activities will increase pain? |
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Definition
| Climbing stairs and hills. |
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Term
| What makes knee pain worse, and what relieves it? |
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Definition
| wors w/ climbing or prolonged standing. Better w/ rest. |
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Term
| What will be seen in terms of stability in the later stages of OA in the knee? |
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Definition
| As cartilage is lost, AP and lateral instability are seen. |
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Term
| Where in the hip does cartilage loss first occur? |
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Definition
| In the upper and outer aspects of the joint. |
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Term
| where in the hip does osteophyte formation occur? |
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Definition
| at the margins of the joint. |
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Term
| What causes pain and reproduces pain associated w/ hip OA? |
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Definition
| Causes: walking or standing. Reproduced by flexion, abd and ER (Faber's Test position). |
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Term
| T or F: OA of the hip can lead to a tredellenburg gait pattern. |
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Definition
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Term
| In general, what ares of the spine are most affected by OA? |
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Definition
| areas of greates angulation and angular movement. |
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Term
| Specifically, where in the spine does OA occur most frequently? |
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Definition
| lower C/ upper T and lower L |
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Term
| What are the biomechanical changes associated w/ OA, in the spine? (these are impt to understand.) |
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Definition
| Initial loss of elasticity of fibers in the annulus fibrosis, Nucleus palposus bulges, change in disc height --> facet joint contact --> osteophyte development, possible n. impingement or spinal cord compression. |
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Term
| being on NSAIDS for too long can lead to what hematologic alteration? |
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Definition
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Term
| What does medical management of OA consist of? (4) |
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Definition
| Analgesics (acetominophen), NSAIDS, Corticosteroid injections for temporary relief, joint replacement, especially in hip and knee. |
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Term
| What is the PT plan for RA Tx to prevent pain? (4) |
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Definition
| Reduce trauma (weight loss), assistive devices, thermal agents, patient ed (movement decreases stiffness). |
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