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RNSG 1343 Osteo
Chapter 40 Musculoskeletal Disorders Osteoarthritis
| Question | Answer |
|---|---|
| Osteoarthritis | Also called DJD (Degenerative Joint Disease) Progressive deterioration and loss of joint cartilage |
| Pathophysiology of Osteoarthritis | Enzymatic degradation Loss of proteoglycans and collagen in cartilage Surface ulcerations and deep fissures develop |
| Risk Factors for Osteoarthritis | Genetic factors Obesity Increasing age Smoking Repetitive activities |
| Osteoarthritis | Most commonly involved joints: Distal interphalangeal (DIP) Proximal interphalangeal (PIP), Metacarpophalangeal joint (MCP) |
| Secondary synovitis | Early pain and stiffness Loss of joint motion Noticeable swelling |
| Joint Arthroplasty | Reconstruction or replacement of a joint Artificial prosthesis inserted to replace joint surface Cemented or uncemented joint |
| Total Hip Arthroplasty Indications | Pain interrupts sleep Pain limits ADLs Drug therapy no longer controls pain Patient able to participate in PT postop |
| Rheumatoid Arthritis | A chronic, systemic autoimmune disease Inflammation of connective tissue in the (synovial) joints Typically have periods of remission and exacerbation Unknown etiology |
| Rheumatoid Arthritis Pathophysiology | A chronic, systemic autoimmune disease Characterized by inflammation of connective tissue in the diarthrodial (synovial) joints Typically have periods of remission and exacerbation Unknown etiology |
| Clinical Manifestations of RA | Inflammation Low-grade fever Fatigue Weakness Anorexia Paresthesias |
| RA (Exocrine glands) | Sjogren's syndrome: Dry eyes/mouth |
| System Lupus Erythematosus | Occur in women of childbearing years African, Asian, and Native Americans 3x more than whites Etiology unknown Genetic influence and Environmental factors Certain medications Oral contraceptives and HRT |
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