Osteoarthritis (OA): Joint and Connective Tissue Diseases
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Questions and Answers

What is Osteoarthritis also known as?

wear-and-tear arthritis

What are common symptoms of Osteoarthritis? (Select all that apply)

  • Swelling (correct)
  • Fever
  • Pain/aching (correct)
  • Fatigue
  • Osteoarthritis is caused by an active response of chondrocytes in the articular cartilage.

    True

    What condition is caused by the accumulation of urate crystals in the joint? Gout is caused by the accumulation of ______ crystals in the joint.

    <p>urate</p> Signup and view all the answers

    What are risk factors for Gout? (Select all that apply)

    <p>Family history of Gout</p> Signup and view all the answers

    What can Liposarcoma in the arms and legs cause?

    <p>Swelling</p> Signup and view all the answers

    What symptoms can Liposarcoma in the abdomen cause?

    <p>Abdominal pain</p> Signup and view all the answers

    What cells are affected by Fibrosarcoma?

    <p>Fibroblasts</p> Signup and view all the answers

    What can happen when fibrosarcoma strikes the body's fibroblasts?

    <p>They multiply excessively</p> Signup and view all the answers

    What are possible risk factors for developing soft tissue sarcomas like fibrosarcoma?

    <p>Weakened or damaged lymph system</p> Signup and view all the answers

    Study Notes

    Osteoarthritis (OA)

    • Also known as "wear-and-tear" arthritis, occurring due to aging and joint overuse
    • Most commonly affects weight-bearing joints
    • Causes:
      • Damage or breakdown of cartilage between bones
      • Joint injury
      • Age
      • Gender (women > men)
      • Obesity
      • Genetics
    • Symptoms:
      • Pain/aching
      • Stiffness
      • Decreased flexibility
      • Swelling
    • Diagnosis:
      • Physical examination
      • Imaging tests (X-ray, MRI)
      • Lab tests (blood, synovial fluid)
    • Pathophysiology:
      • Progressive loss of articular cartilage and remodelling of the underlying bone
      • Involves degradation of cartilage and remodelling of bone due to an active response of chondrocytes
    • Treatment:
      • No specific cure, but its effect can be reduced
      • Control pain
      • Maintain or improve joint function
      • Maintain a normal body weight
      • Achieve an overall healthy lifestyle

    Gout

    • Type of inflammatory arthritis
    • Caused by a robust inflammatory response to uric acid crystals
    • Occurs in hyperuricemia (high uric acid levels in the blood)
    • Causes:
      • Accumulation of urate crystals in joints
      • Diet (meat, seafood, beverages, and alcohol)
      • Obesity
      • Medical conditions (certain diseases increase risk of gout)
      • Certain medications (thiazide diuretics for hypertension)
      • Family history of gout
      • Age and sex (more common in males)
      • Recent surgery or trauma
    • Symptoms:
      • Intense joint pain
      • Inflammation and redness
      • Limited range of motion
    • Pathophysiology:
      • Liver produces uric acid, which is eliminated through kidneys
      • High levels of uric acid in blood lead to hyperuricemia
      • Uric acid crystals form in joints, causing inflammation and pain
    • Diagnosis:
      • Joint fluid test
      • Blood test (measure level of uric acid and creatinine)
      • X-ray imaging
      • Ultrasound
      • Dual energy CT scan
    • Treatment:
      • Medications for pain and inflammation (Colchicine, Corticosteroids, NSAIDs)
      • Medications for lowering uric acid levels (Allopurinol, Febuxostat)
      • Lifestyle changes (limit purine-rich foods, avoid sugar, lose weight, consider pineapple)

    Soft Tissue Tumors

    • 3 types of soft tissue tumors: benign, intermediate, and malignant
    • Benign tumors:
      • Do not invade nearby tissue
      • Do not spread to other parts of the body
      • Examples: lipomas, neurofibroma, schwannomas
    • Intermediate tumors:
      • May grow and invade nearby tissues and organs
      • May not spread to distant sites
      • Examples: dermatofibrosarcoma protuberans, fibromatosis
    • Malignant tumors:
      • Can spread to other parts of the body
      • Examples: soft tissue sarcomas (e.g. angiosarcoma, liposarcoma, fibrosarcoma)

    Soft Tissue Sarcomas

    • Can develop in soft tissues like fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues
    • Can occur in any part of the body, but most common in arms and legs
    • Examples:
      • Angiosarcoma: malignant neoplasm in vessels, showing signs of hemorrhage and necrosis
      • Liposarcoma: rare type of cancer that begins in fat cells
      • Fibrosarcoma: rare type of cancer that affects fibroblasts, responsible for creating fibrous tissue

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    Description

    Learn about osteoarthritis, a wear-and-tear arthritis that occurs due to aging and joint usage. Understand its causes, risk factors, and effects on weight-bearing joints.

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