Download Free Medical Rheumatoid Arthritis Vs Osteoarthritis PowerPoint Presentation

Rheumatoid Arthritis Vs Osteoarthritis PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : This medical presentation titled "Rheumatoid Arthritis Vs Osteoarthritis" provides us information on Rheumatoid Arthritis and Osteoarthritis.

Tags : Rheumatoid Arthritis, Treatment options, chronic systemic autoimmune inflammatory disease, aggressive inflammatory changes, synovium, joint pain, stiffness, swelling, joint damage, functional debility, Osteoarthritis, Symptoms, Signs

Published on : Apr 26, 2021 | Views : 2095 | Downloads : 36

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Rheumatoid ArthritisVsOsteoarthritis Anusha Reddy FY1 General Surgery (UHCW)
Slide 2-

Rheumatoid Arthritis Definition Multisystem Autoimmune Inflammatory Condition Symmetrical Polyarthropathy Small joints
Slide 3-

Epidemiology It can develop at any age, but typically starts between 40- 60 years Female:Male (3:1) Common Arthritis: 1 in 100 develop RA at some stage in their life
Slide 4-

Pathophysiology Not completely elucidated! Autoimmune Trigger Synovial cell hyperplasia and endothelial cell activation  uncontrolled inflammation  bone destruction Genetics
Slide 5-

Symptoms and Signs Morning stiffness lasting ≥1 hour* Swelling in ≥3 joints* Swelling in hand joints* Symmetric joint swelling* Erosions or declacifications on xray of hand Rhematoid nodules Abnormal serum RF *Must be present ≥6 weeks
Slide 6-

Extra-articular manifestations
Slide 7-

Investigations Bloods FBC, U&Es, LFTs, ESR, CRP, RF anti CCP Imaging
Slide 8-

ppt slide no 8 content not found
Slide 9-

Management Conservative- weight loss, smoking cessation, OT Pain relief- paracetamol + NSAIDS, Steroids Disease modification – DMARDs and Biologics (Etanercept + Adalimumab)
Slide 10-

DMARDS METHOTREXATE (first line)- oral ulcers, alopecia, GI upset, hepatotoxic SULFASALAZINE- GI upset, less hepatotoxic LEFLUNOMIDE- Liver cirrhosis, GI upset, alopecia !GOLD- Rash, Glomerulonephropathy !PENICILLIAMINE- Rash, lupus-like illness
Slide 11-

Case 1 34 F presents 8/52 history of pain of the small joints in her hand. Pain worse first thing in the morning Associated with stiffness +++ Takes around 1 hours for the stiffness to go away Feels more tired than usual Notices swollen hands
Slide 12-

Case 1 Social History Works as a secretary and has been late for work- pain has disrupted her morning routine Smokes 15 cigarettes/day Drinks <10units of wine/week
Slide 13-

Case 1 On Examination Slightly swollen over the MCP and PIP joints of both hands. Tender +++ No obvious deformity Temp 37.5°C Injected right eye- non tender Skin changes°/ elbows°/scalp°
Slide 14-

Case 1 Differential Diagnosis Rheumatoid Arthritis Osteoarthritis SLE Sjogrens Syndrome Sarcoidosis Psoriatic Arthritis Polymyalgia Rheumatica
Slide 15-

Case 1 Investigations ? Bloods FBC, U&Es, LFTs, ESR, CRP, (RF anti CCP) Imaging Narrowing of joint spaces Soft tissue swelling Bony erosions Subluxation Periarticular osteopenia Joint deformity
Slide 16-

Management Conservative- smoking cessation Drugs 1) Pain relief 2) Disease modifying Social Modifications at work Modifications at home Case 1
Slide 17-

ppt slide no 17 content not found
Slide 18-

Osteoarthritis Definition Degenerative joint disease A clinical syndrome of joint pain accompanied by functional limitation and reduced QOL Hips Knees Small joints of hands
Slide 19-

Osteoarthritis Risk factors Increasing age Women Obesity Joint injuries- sports/occupational repetitive stress load
Slide 20-

Symptoms and Signs Square thumb
Slide 21-

RA Vs. OA
Slide 22-

Investigation Bloods FBC, U&Es, LFTs, ESR, CRP Imaging- 4 cardinal signs on Xray? Subchondrial sclerosis Osteophytes Narrowing of joint space Subchondrial cysts
Slide 23-

ppt slide no 23 content not found
Slide 24-

Management Management !THINK! Function- function-function Conservative- muscle strengthening exercises + aerobic exercise Drugs- Paracetamol + NSAIDS (top/oral) Intrarticular steroid injections as adjunct therapy Surgery- indicated when PAIN/stiffness have a substantial impact on QOL MDT- Physio, OT, GP
Slide 25-

Osteoarthritis- !THINK! Function
Slide 26-

Case 2 67 F presents with pain in the joints of her hands, mainly the thumbs. Pain worse after gardening Slight swelling present Pain eased by paracetamol Hypertension (Amlodipine 5mg), retired secretary, never smoked and non-drinker
Slide 27-

Case 2 On examination Not grossly defomed Squaring of the thumb joint Tender over PIPs and DIPs Do her buttons and write her name with slight discomfort
Slide 28-

Case 2 Investigations ? Bloods FBC, U&Es, LFTs, ESR, CRP Imaging Subchondrial sclerosis Osteophytes Narrowing of joint space Subchondrial cysts
Slide 29-

Management
Slide 30-

References Nice guidelines- Rheumatoid Arthritis (2009) http://www.nice.org.uk/nicemedia/live/12131/43326/43326.pdf Nice guidelines- Osteoarthritis (2008) http://www.nice.org.uk/nicemedia/live/11926/39557/39557.pdf
Slide 31-

THANK YOU! ANY QUESTIONS??
Slide 32-

Hand Changes in RA
Slide 33-

Hand Changes in OA Square thumb