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Name two types of arthritis?
- 1) Hypertrophic: more bone
- 2) Atrophic: less bone (RA, JRA)
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Another phrase for Osteoarthritis?
DJD = degenerative joint disease
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How many joints does OA affect?
Normally 2
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What are two other names for osteophyte?
-
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H/A Joint Mice
- H
- * spurs that break off and fall within joint
-
H/A lipping
- H
- * spur across entire joint
-
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H/A Eburnation/Sclerosis
H
-
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H/A Heberden's & Bouchard's nodes, differences?
- H
- Heberden's:
distal nodes, generally on hands - Bouchard's: proximal nodes, generally on hands
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H/A Rheumatoid arthritis
- A
- * Blood pooling causing demineralization
-
H/A juxtaarticular cysts
- A
- fibular deviation of digits (abductus)
- sign of RA
-
-
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H/A Gouty Arthritis, signs?
- A
- effusion, washed out look, joint narrowing
- painful, red
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H/A Martel's sign
- A
- overhanging edges due to punched out lesions of bones
- sign of GOUT
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What are syndesmophytes?
- Spurs on spinal column
- Can be caused by spondylitis, squaring, bridging, etc...
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H/A Terminal whittling, pencil in cup
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What is didactylitis?
Sausage toes
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What tests is used to ID Osteopenia?
DEXA
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DEXA SD Levels for Osteopenia and Osteoporosis?
- Osteopenia: -1 to -2.5
- Osteoporosis: > -2.5
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5 common causes of oteomalacia?
- Hyperthyroid
- vit-D deficiency
- GI problems
- renal problems
- fibrous dysplasia
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What are looser lines?
- Sclerotic lines in long bones that appear to be fractures
- sign of osteomalacia
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T/F Bones are dense and hard in osteomalacia?
F, soft and pliable
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5 common rickets findings?
- Leg bowing (vit. D deficiency)
- loss of epiphyseal plates
- Looser lines
- Frayed metaphysis
- Wide osteoid seams
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What vitamin is affected by high PTH?
Vit. D due to destruction of bone
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5 common signs of hyperparathyroidism?
- Vit. D deficiency
- periosteal lifting
- ground glass bone formations
- lace-like bone
- vascular calcifications (taking Ca from bone into the system)
-
What are brown tumors and what are they a sign of?
- brown tumors: tumors that are fibrous and have replaced bone
- cause: hyperparathyroidism
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Common bone disease of diabetics?
Renal osteodystrophy
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What is renal osteodystrophy?
Washed out bone
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5 causes of cretinism
- hypothyroid
- delayed epiphyseal fusion
- short, slender bone shafts
- wide, cupping metaphysis
- OP
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most common sign of Paget's disease
- Excessive bone laying down
- huge skull
-
what is a banana fracture a sign on?
Paget's disease
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What does Winberg's sign show and what is it?
- Scurrvy
- Shows bright lines around epiphyseal areas
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What is salmonella osteomyelitis a sign of
Sickle-cell disease
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