student arthritis ortho

student arthritis ortho - Arthritis Hip and Knee...

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Arthritis Hip and Knee Nigel Brewster 1998
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Aims   Types of arthritis   Symptoms of arthritis   Signs of arthritis   Treatment of arthritis
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Types of Arthritis Rheumatoid arthritis (RA) Osteoarthritis (OA) Sero-negative arthritis Ankylosing spondylitis Reiter’s disease Crystal arthropathies
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Rheumatoid Arthritis affects 3% population female> male (3:1) 80% RF 30% ANF HLA DR4 (chr 6)
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Rheumatoid Arthritis Pathology Synovitis    chronic infl, synovial hypertrophy, effusion Destruction    proteolytic enzymes, pannus Deformity    articular destruction, capsular stretching,  tendon rupture
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Rheumatoid Arthritis extra-articular nodules tendon sheath vasculitis myopathy and neuropathy reticulo-endothelial system visceral - lungs, heart, kidneys, brain, GI
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Rheumatoid Arthritis early symptoms myopathy, tiredness, weight loss, malaise proximal finger joints wrists, feet, knees, shoulders start up pain tendon crepitus
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Rheumatoid Arthritis early joint changes
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Rheumatoid Arthritis late symptoms joint destruction pain deformity instability
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Rheumatoid Arthritis advanced joint changes
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Rheumatoid Arthritis X-ray findings joint space narrowing peri-articular osteopenia erosions
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