slide1
Download
Skip this Video
Download Presentation
Rheumatoid Arthritis and Osteoarthritis

Loading in 2 Seconds...

play fullscreen
1 / 21

Rheumatoid Arthritis and Osteoarthritis - PowerPoint PPT Presentation


  • 97 Views
  • Uploaded on

Rheumatoid Arthritis and Osteoarthritis. D efinition A etiology P athophysiology S igns and Symptoms I nvestigations C omplications A lternative Diagnosis M anagement P rognosis. Definition.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Rheumatoid Arthritis and Osteoarthritis' - fordon


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Rheumatoid Arthritis

and Osteoarthritis

slide2

Definition

AetiologyPathophysiologySigns and SymptomsInvestigationsComplicationsAlternative Diagnosis

Management

Prognosis

definition
Definition
  • RA: - an autoimmune disease- results in a chronic, systemic inflammatory disorder - principally affects flexible (synovial) joints
definition1
Definition
  • OA: - a degenerative non-inflammatory disorder- degradation of articular cartilage and subchondral bone- ‘wear and tear’- m/c affects the spine
pathophysiology
Pathophysiology
  • RA: - not well understood- autoimmunity with environmental triggers- abnormal immune function response
  • OA:- chronic degenerative disorder- trauma

- related to but NOT CAUSED by ageing

H2O content of cartilage Cartilage is less resilient +- inflammation of joint capsule +- new bony outgrowths develop

signs and symptoms of ra
Signs and Symptoms of RA
  • Joint: pain, stiffness, swollen, hot
  • Loss of joint function
  • Symmetrical polyarthritis
  • Pain worse in morning (>1hr)
  • Pain improves with movement
  • Fatigue
  • Anaemia of chronic disease
signs and symptoms of oa
Signs and Symptoms of OA
  • Joint: pain, stiffness
  • Loss of joint function
  • NO swelling
  • Pain better with slight use but worse with excessive or prolonged movement
  • Crepitus
investigations
Investigations
  • History and examination
  • X-ray
  • CT/MRI
  • Bloods
  • Assay analysis
alternative diagnosis
Alternative Diagnosis
  • Gout
  • Pseudogout
  • SLE (RA)
  • Psoriatic arthritis
  • Reactive arthritis
management of ra
Management of RA
  • Conservative: -Regular exercise - Patient education
  • Medical: - DMARDs - NSAIDs(+ after 3/12)
  • Surgical: - Arthroscopic/Open Synovectomy - Joint replacement - + Post-operative physiotherapy
management of oa
Management of OA
  • Conservative: -Light exercise - Patient education - Weight loss if necessary
  • Medical: - Paracetamol - NSAIDs
  • Surgical: - Joint replacement
prognosis
Prognosis
  • RA:- Progressive- Rh nodules  worse prognosis - Atherosclerosis- 3-12 year lifespan reduction
  • OA:- Progressive- Majority have no severe disability- Knee OA  worst prognosis- Hand OA  best prognosis
ad