Arthritis All answers are TRUE for the T/F questions.

Slides:



Advertisements
Similar presentations
RHEUMATOID ARTHRITIS RA Inson lou. Epidemiology Symptoms signs Labs Diagnosis Treatment.
Advertisements

HealthPartners Medical Group
RHEUMATOID ARTHRITIS VS OSTEOARTHRITIS Anusha Reddy FY1 General Surgery (UHCW) 25 th Nov 2013.
Arthritis and Other Joint Conditions
Skeletal System Diseases and Disorders. Arthritis Rheumatoid Rheumatoid Osteoarthritis Osteoarthritis Juvenile Rheumatoid Arthritis Juvenile Rheumatoid.
Arthritis and Podiatric Medicine: Walking Hand-in-Hand Dr. Dennis R. Frisch 30 SE 7 th Street Boca Raton, FL
Osteoarthritis & Rheumatoid Arthritis
Joint Replacement Stephanie Arrington. Joint Replacement  Research suggests that more than a million people a year are getting a total joint replacement.
Tena Trbojević Mentor: A. Žmegač Horvat
Rheumatoid Arthritis By, Marissa Miuccio.
ARTHRITIS. Osteoarthritis is a degenerative joint disease is the most common joint disorder. It is a frequent part of aging and is an important cause.
All About Rheumatoid Arthritis
 Arthritis is the inflammation of one or more joints, accompanied by joint pain called arthralgia, swelling, stiffness, and loss of movement of the joints.
All About Osteoarthritis
Management of Rheumatoid Arthritis Morning stiffness Morning stiffness in and around the joints, lasting at least 1 hour before maximal improvement.
Understanding Arthritis Pain and Treatment Options
Arthritis Hip and Knee Nigel Brewster Aims l Types of arthritis l Symptoms of arthritis l Signs of arthritis l Treatment of arthritis.
Chapter 14 Noncommunicable Diseases Lesson 4 Diabetes and Arthritis Next >> Click for: Teacher’s notes are available in the notes section of this presentation.
WELCOME TO UNIT 2 SEMINAR!. Rheumatoid arthritis (ra)
BELL WORK Do you know anyone with diabetes? What changes do you think you would need to make if your life if you had diabetes?
Presented by: Dr. Daniel Leonard.  Osteoarthritis  Rheumatoid Arthritis  Gout  JRA  Psoriatic arthritis.
RHEUMATOID ARTHRITIS By: Julie Le and Mary Le 5/2/12 4 th pd.
Dr. Sarah Ehsan (PT). Topics to be covered in this lecture: Arthritis–arthrosis Fibromyalgia and myofascial pain syndrome Osteoporosis Fractures–post-traumatic.
SKELETAL SYSTEM. Diseases/Disorders Sprain – stretched or torn ligament or tendon Arthritis – inflamed joint Osteomyelitis – infected bone Osteoporosis.
Diseases/Disorders of the Bone. Common Foot Disorders Hallux valgus Hallux valgus Hammertoe Hammertoe.
Orthopaedics Wa’el N. Qa’dan, MSc. Rheumatoid arthritis (RA): It is the commonest cause of chronic inflammatory joint disease. Most typical.
Objectives Define arthritis List risk factors
Overview of Arthritis Brought to you in collaboration by: 1. Arthritis Foundation Tennessee Chapter 2. Tennessee Department of Health 3. University of.
Skeletal System Disorders. Osteomyelitis Infection of the bone Causes include: invading bacteria, pneumonia, typhoid, inflammation of teeth, and injury.
G. Examining and Repairing Diarthroses 1. Arthroscopy is a procedure for examining and repairing the interior of a joint with minimal incisions and anesthesia.
OSTEOARTHRITIS. Osteoarthritis (OA) is a common, degenerative disease, which is characterized by local degeneration of joint cartilage and new bone formation.
Case #13 Ellen Marie de los Reyes March 15, 2007.
Dr. Mahboob Ur Rahman BSPT,PPDPT,EMBA Chief Physiotherapist HMC Peshawar/ Founder &Chairman Mahboob School of Physiotherapy Hayatabad.
DEGENERATIVE JOINT DISEASE = OSTEOARTHRITIS. DEGENERATIVE JOINT DISEASE Degenerative joint disease is chracterized by: 1. pain 2. stiffness 3. loss of.
ARTHRITIS Aaron Calilap Cariane Matela Tyra Wiggins.
Diabetes Diabetes-is a disease that prevents the body from converting food into energy. –The body breaks down food into the simple sugar glucose. –Insulin-a.
Rheumatoid Arthritis Dr ahad azami. Rheumatoid Arthritis Systemic Systemic Chronic Chronic Inflammatory Inflammatory Primarily targets the synovium of.
Common Injuries of the Wrist and Hand. Wrist and Hand Anatomy The hand including the wrist consists of 27 bones 8 carpals make up the wrist 5 metacarpals.
Rheumatoid Arthritis (RA) By: Leon Richardson Period
IIIB – DOCTOR OF MEDICINE B5 Dr. Tan - Ong. ACR classification criteria Morning stiffness Arthritis of three or more joint areas Arthritis of hand joints.
Adult Medical-Surgical Nursing Musculo-skeletal Module: Rheumatoid Arthritis.
Skeletal System Disorders. A. Arthritis Describes over 100 different inflammatory or degenerative diseases.
Rheumatoid Arthritis.
Diabetes  23.6 million people have diabetes  7.8% of population  1.6 million people ages 20 or older were diagnosed with diabetes in  All of.
OSTEOARTHRITIS Dr Sami Abdallah. Anatomy of synovial joints:
Osteoarthritis. What is osteoarthritis (OA)? Degenerative joint disease Slowly evolving disease Originates in the cartilage Causes inflammation of the.
OSTEOARTHRITIS (OA) is the most common form of arthritis. It has a strong relation with ageing as its a major cause of pain and disability in older people.
Skeletal System Disorders. Arthritis Joint inflammation 2 most common forms: Osteoarthritis Rheumatoid arthritis.
Learning Objectives Degenerative joint disease (Osteoarthritis)
Warm Up Take out: Lesson Quiz 14-2 & Concept Map 14-3 Take both worksheets from the table.
Osteoarthritis Name : Abdulaziz Bader ID:
October 17, 2016 Joints.
Other Noninfectious Diseases
Arthritis and the Management of the Painful Knee
Osteoarthritis vs Rheumatoid Arthritis
Arthritis Hip and Knee Nigel Brewster 1998.
Noncommunicable Diseases
Osteoarthritis ( OA) Osteoarthritis ( OA) is a chronic joint disorders in which there is progressive softening and disintegration of articular cartilage.
Loyola-Provident-Cook County Family Medicine Residency
THE ARTHRITIS FOUNDATION
OSTEOARTHRITIS DEGENERATIVE JOINT DISEASE
Arthritis.
Arthritis.
Osteoarthritis By the end of this PowerPoint you will be able to….
Dr.Fakhir Yousif.
New Criteria of RA Esraa Bukhari Houseofficer 29 Nov 2010.
54 Osteoarthritis.
Lab Practical #2 Study Set
Overview of Arthritis Brought to you in collaboration by:
Presentation transcript:

Arthritis All answers are TRUE for the T/F questions

Arthritis is the leading cause of disability in the US T or F Arthritis is the leading cause of disability in the US

There are over 100 different types of arthritis T or F There are over 100 different types of arthritis

Arthritis is more common in women T or F Arthritis is more common in women

Arthritis can affect children T or F Arthritis can affect children

Affects more than 50 million adults and 300,000 children Arthritis Very common More common in women and the elderly Affects more than 50 million adults and 300,000 children Not just a “single” disease

Degenerative or Non-inflammatory TYPES OF ARTHRITIS Degenerative or Non-inflammatory Inflammatory Infectious Hemorrhagic Classified to four basic groups based on their common characterastics.

Inflammation Body’s way of reacting to harmful stimuli Pathogens, irritants etc Purpose Eliminate the cause, clear / clean, repair Signs Pain, heat, redness, swelling, loss of function Different from an “infection” i.e. bacteria, virus etc

Degenerative Arthritis Most common type OSTEOARTHRITIS Cartilage wears away Bone rubs against bone Joints become weaker

Osteoarthritis Leads to functional limitation Reduced quality of life Pain gets worse as the day progresses Reduced quality of life Hips Knees Spine Small hand joints DIP and PIP

Osteoarthritis Pain Swelling Stiffness Deformity Decreased range of motion Instability Loss of function SYMPTOMS Osteoarthritis

Repetitive stress load Risk Factors Age Women Obesity Joint injuries Repetitive stress load Sports, work etc

How to protect yourself? Protection of affected joints Weight loss Exercise of supporting muscles. Pain relief medications Injections. Glucosamine & chondroitin  Surgical treatment TREATMENT

Example of a knee replacement

Another type of Degenerative Arthritis Charcot Joint Usually due to diabetes Loss of sensation leads to - repetitive trauma that is unnoticed Diabetes can cause arthritis Loss of sensation in the foot  worsening cut / injury  ulcers  injury reaches the bone  bone destruction and increased risk of infection  can lead to amputations

INFLAMMATORY ARTHRITIS Rheumatoid Arthritis SLE JRA Spondyloartropathies Crystal deposition disease Relapsing polychondritis

Typically starts ages 40-60 RHEUMATOID ARTHRITIS Common Affects 3% population Female > male (3:1) Typically starts ages 40-60

Combination of genetics and environmental factors What causes RA? Unclear Combination of genetics and environmental factors Your body attacks itself AUTOIMMUNE DISEASE

RHEUM. ARTHRITIS – Signs & Symptoms Morning stiffness Affects 3 or more joint areas Affects hand joints Symmetric arthritis Morning stiffness Morning stiffness in and around the joints, lasting at least 1 hour before maximal improvement. Arthritis of 3 or more joint areas At least 3 joint areas simultaneously have had soft tissue swelling or fluid (not bony overgrowth alone) observed by a physician; the 14 possible joint areas are right or left proximal interphalangeal (PIP) joints, metacarpophalangeal (MCP) joints, wrist, elbow, knee, ankle, and metatarsophalangeal (MTP) joints. Arthritis of hand joints At least 1 area swollen (as defined above) in a wrist, MCP or PIP joint. Symmetric arthritis Simultaneous involvement of the same joint areas (see 2 above) on both sides of the body (bilateral involvement of PIPs, MCPs, or MTPs is acceptable without absolute symmetry). Rheumatoid nodules Subcutaneous nodules, over bony prominences, or extensor surfaces, or in juxta-articular regions, observed by a physician. Serum rheumatoid factor Demonstration of abnormal amounts of serum rheumatoid factor by any method for which the result has been positive in <5% of normal control subjects. Radiographic changes Radiographic changes typical of RA on posteroanterior hand and wrist radiographs, which must include erosions or unequivocal bony decalcification localized to or most marked adjacent to the involved joints (osteoarthritis changes alone do not qualify)

Muscle pain, fatigue, weight loss Joint pain Signs & Symptoms EARLY FEATURES Muscle pain, fatigue, weight loss Joint pain Wrists, feet, knees, shoulders Start up pain Joint pain (MCP / PIP) Tendon crepitus

RHEUM. ARTHRITIS

RA can affect any part of your body!

RHEUM. ARTHRITIS - TREATMENT Stop the inflammation Rest Weight loss, smoking cessation Medicines Prevent Deformity and Rehab Stop the Synovitis Rest Drugs - Pyramid Approach = NSAIDs - antimalarials - disease modifying agents (MTX, sulphasalazine, gold, penicillamine) - steroids - cytotoxic drugs - experimental drugs. Synovectomy - chemical, irradiation, surgical Prevent Deformity Splintage Physiotherapy Tendon repairs & joint stabilisation Reconstruct Arthroplasty Arthrodesis Osteotomy Rehabilitate Occupational therapists - aids, support

Rheumatoid Osteoarthritis Age of onset Any age Usually later Speed of onset Wks to months Over many years Distribution Symmetrical Usually one sided Joints affected Small joints Weight bearing Stiffness Morning End of the day Systemic symptoms Fatigue, fever, night sweats, etc -