RHEUMATOID ARTHRITIS OSTEOARTHRITIS SisyMMETRICAL The deterioration of the articular cartilage (cartilage between the bones) that affects weight-bearing an RISK FACTORS SYMPTOMS AVA, + Oldage>40 yrs + Joint pain: HARD +*BONY = X-ray eset ore wear and tear + Stiffness (< 30min; worse bone) but will show 4 414 + Repeated injuries at the end of the day) joint space and 1 + Overweight * Grating + clicking sound bone integrity * Manual labor + ONLY joints + Patient s/s NO: INFLAMMATION, REDNESS, OR WARMTH OSTEOARTHRITIS N oO cu R E! REUMATOID CARE: BUT WE CAN TREAT WITH... ARTHRITIS CARE: * Realignment * Synovialectomy + Weight loss BOTH: EXERCISE, NSAIDS, * Joint Fusion * Topical cream TYLENOL, REST JOINTS * Steroids Y SYMMETRICAL °) RHEUMATOID ARTHRITIS The immune system attacks synovium (connective tissue within the joint) which affects mostly wrists, fingers, and elbows). Can also be systemic (fever, anemia) CAUSES SYMPTOMS TESTING « Unknown; tends to + INFLAMMATION + (#) Rheumatoid Factor affect women + Stiffness (> 30min) — « + Erythrocyte sedimentation more than men Soft, warm joints + (+) C-reactive protein # Any age 20-60 + Systemic sx (fever, « X-ray joint deterioration redness) YES: INFLAMMATION, REDNESS, AND WARMTH