Lecture notes
the pathophysiology of joint disease 2: osteoarthritis
- Module
- Medicine
- Institution
- The University Of York (UOY)
includes: patient case example, risk factors, epidemiology, causes of pain, management objectives
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1Sunday, 16th January 2022
Week 1
Medicine
The Pathophysiology of Joint Disease 2
Osteoarthritis
Patient
Beryl
o 76 y/o
o Female
o 5 years
Pain and swelling in various joints
Smell joints of hands
Knees
Hips
Lower back
o Worse after activity
o Some joint stiffness early in the morning
15 minutes
What do we notice?
Elderly
o Degenerative problem
Pain with less swelling also indicates degenerative
Larger joints effected
Examination
Joint swelling
o Finger joints
o Deformity on little fingers
Symmetrical
Not affecting wrists
Both symmetrical and asymmetrical swelling
Joints would feel hard and nodular
o Predominantly bone
o Degenerative pattern
Tests
All bloods normal
CRP 10
ESR 39
o Mild inflammation
RF, CCP, ANA neg
Summary
More elderly
Affects axial skeleton
Weight bearing joints affected
Less inflammation
Examination and blood test findings lead to degenerative problem
Osteoarthritis
Osteoarthritis
Very common
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