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NWHSU NMS I Final from notes (chapter 10 and on)

ASO (Anti-Streptolysin Oxygen-labile) titer (concentration measurement)indicates rheumatic fever (will be elevated)
Antinuclear antibody (ANA) in what ds: SLE ( systemic lupus erythematosus)
HLA-B27 commonly elevated in what: AS (Ankylosing Spondylitis)
bacteria in rheumatic fever: streptococcus
Reiter's syndrome triad: urethritis, conctivitis, arthritis
What bacteria is responsible for Acute Hematogenous Osteomyelitis staphylococcus aureus (90%)
What bacteria is responsible for Acute Septic Arthritis staphylococcus aureus (because the most common source is Acute Hematogenous Osteomyelitis)
What is the white blood cell count from needle aspiration of joint indicating septic arthritis >100,000/mL
What is blood poisoning from bacteria septicemia
pathology of osteoarthritis narrowed joint space, bony spurs, sclerosis
Stiffness after rest (articular gelling) should be expected, aka post-intertial dyskinesia
what are drugs that interfere with bacteria reproduction? kill organism? bacteriostatic, bacteriocidal
What is acute hematogenous osteomyelitis? blood-borne bacteria inf of the bone and its marrow in children
tx for chronic hematogenous osteomyelitis: surgical removal of sequestrum, antibiotic therapy
Necrotizing Fasciitis mortality rate of 30% is from what 'flesh-eating' bacteria? group A beta-hemolytic streptococcus
what ds has Brodie's abscess: chronic hematogenous osteomeylitis
What is acute septic arthritis (pyogenic arthritis)? destruction of the synovial jt, which leads to jt problems
where is acute septic arthritis most commonly at? hip and elbow
What ds has cold absess? TB (abscess is bluish or "cold")
What is Pott's ds? TB osteomyelitis of the spine, 2nd to UT TB, carried via Batson's Plexus
What do tests show for tuberculosis arthritis? inc ESR (erythrocycte sedimentation rate), positive skin test
ratio m/f in rheumatoid arth? 3 female:1 male
in what age grp is rheumatoid arthritis most common? 20-40
percent positive for rheumatoid factor test in rheum. arthritis? 70%
T/F juvenile rheum. arth. is a chronic synovial infl. of unknown cause. T
Are there many jts involved in juvenile rheum arth? no
AS (Ankylosing Spondylitis) is seronegative or seropositive? seronegative
Primary sign of AS(Ankylosing Spondylitis)? bamboo spine
what is enthesopathy? AS affecting the insertion of tendons, ligaments, jt capsules w/ progressive fibrosis and ossification
What is Ricker back? progressive flex of back (w/AS)
Lab finding for AS(Ankylosing Spondylitis)? inc ESR, positive HLA-B27
ratio m/f for lupus: 8 female:1 male
How is Reiter's transmitted? sexually
Lab for Reiter's: positive HLA-B27 in 75%
What is psoriatic arthritis? chronic skin infl; MC at DIP and spondylitis
MC findings for rheumatic fever: inc ASOT; 13-14 yrs of age
ratio m/f for gout 20:01:00
mc age for gout after 40
what is podagra? acute gout
What is Christmas ds? hemophiliac arthritis (chronic bleeding into the jt)
Signs of DJD: cartilage hyertrophy of subchondral bone; infl of synovial membrane (secondary); heberden's node (
Signs of DJD: cartilage hypertrophy of subchondral bone; infl of synovial membrane (secondary); heberden's node (DIP), Haygarth's node (MCP-soft tissues, swelling around the jts assoc with RA)
Degenerative Joint Disease joints for Heberden's node DIP
Degenerative Joint Disease joints for Bouchar's node PIP
Primary type of DJD (Degenerative Joint Disease) mc in: female, middle age
pathogenesis of DJD (Degenerative Joint Disease) loss of proteoglycans and H2O
What is spondylosis, spondylitis spur formation, inflammation
what is trigger finger digital tenovaginitis stenosans a degenerative tendon and joint capsule disease also referred to as Periarticular Disease
etiology of neuropathic jt ds (Charcot's jt) diabetes, syringomyelia, steroid
myofascial px syndrome= traumatic induced infl/fibromyoglia
site of degenerative tendon and capsule ds periarticular ds: shoulder
tenovaginits stenosans: dequervains (wrist)
How is dequervain's (wrist) tested clinically? finkelsteins (reactive finkelstein's test)
What is friction bursitis: bunion
4 phases of osteochondrosis (in order) early phase of necrosis; phase of revascularization; phase of bone healing; phase of residual deformity (infl, necrosis, replacement, residuum)
5 S's in Chandler's ds: femoral head may collapase from: sterno, steroids, scuba divers, sickle cell anemia, SLE
Freiberg's metatarsal head
Kohler's tarsal navicular
Kienbock's lunate
Panner's capitellum
Osgood Schlatter tibial tubercle
Scheuemann's ant vertebral body height
Van necks ischiopubic osteochondrosis
Madelung's Deformity ulnar side of Radius epiphyseal growth disturbance
Sever's ds calcaneus
Gaucher's ds avascular necrosis of subchondral bone, a lipid metabolism disorder proliferating macrophage cells
sexually transmitted ds assoc with Reiter's syndrome: chlamydia; shigella and rarely salmonella or yersinia with fecal exposure
other manifestations of Reiter's besides triad: circinate balanitis, keratodermia blennorrhagicum and oral lesions
Where does Reiter's syndrome arthritis affect? knees, ankles and feet
Is HLA in Reiters? yes in 75%
Osteochondroses ds's: Legg-Calve-Perthes, Osgood Schlatter, Freiberg's, Kohlers, Kienbochs, preisers, panners, sever's
Legg-Calve-Perthes ds sx (AKA juvenile coxa plana) avasc nec of cap fem epiph; 3-12 yrs, male; bilateral (10%); insidious, traumatic or inflammatory
What are Legg sx seen in later stages: sudden onset, referred knee px, pxful or pxless limp, limited mvmt (esp rot, abd, flx), px worse w/activity, disuse atrophy, appearance of leg deficiency, DJD later in life
How does Legg start? infl for 2wks-2mths, fx of epiphysis (seen as bulging jt capsule on xray)
How does stage 2 Legg look on xray? opacity & flattening, physis widens and irregular (snow cap sign)
Tx for Legg: minimizing discomfort and deformity-slings, braces & crutch devices
What is Chandler's ds: adult onset AVN of the femoral head
Causes of Chandlers: mc related to chronic alcoholism and long-term steriod use; 5 S's=sterno, steroids, scuba divers, sickle cell anemia, SLE
Sx of Chandlers pxful, dec ROM of hip & affected lower ext; abrupt onset
Course of Chandlers heals spontaneously w/ deformity
Osgood Schlatter sx very common, post-traumatic, traction of AVN of ant tib epiphysis; 10-14 yrs
Pain findings with Osgood: can be bilateral, swollen tender area, px upon resisted ext of the leg
Osgood on xray: prox segment fails to unite with tibial shaft and remains mobile
Osgood tx avoid physical stresses; use of compression supports are very effective
AKA for scheuermann's ds juvenile kyphosis dorsalis; juvenile discogenic ds
Is scheuermann's an AVN? no, not a true one
What is scheuermann's? very common; young person's first chiro visit, d/t congenital weakness of cartilaginous endplate complicated by excessive physical stress. Ends with cessation of growth.
Sx of scheuermanns: low grade back px, stiffness and poor posture mc
xray of scheuermanns multi-level vertebral end plate irregularity and sclerosis, dec disc ht, loss of ant vertebral body height creating "trapezoid-shaped segments", schmorl's nodes; hyperkyphosis
tx of scheuermann's manual therapy, ext back exercises and postural training to relieve discomfort and stiffness. Bracing to minimize deformity in severe cases.
Created by: AnatomyMash
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