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At the end of the class the students will be
able to:-
 Define osteoarthritis
 Enumerate the etiology
 Explain the pathophysiology
 List out the diagnostic evaluation
 Explain the clinical manifestations
 Describe the management
 It is a non inflammatory disorder of the movable
joints characterized by deterioration of articular
cartilage & formation of new bone at joint
surface & margins.
1. Obesity
2. Genetic & hereditary.
3. Occupation – mainly cotton mills.
4. Multiple endocrine disorders – DM, Acromegaly.
5. Old age.
6. Previous joint damage.
Due to any etiological factor
 Change in the articular cartilage.
 Soft tissue changes may occur.
 Progressive wear & tear of the cartilage.
 Thinning of joint surface & ulceration in the
bone.
 Inflammation of joint & increased blood flow &
hypertrophy of subchondrial bone.
 Leads to new cartilage
& bone formation at the joint margin.
 Osteophytosis
 Altering in shape & size of the bone.
1. Pain.
2. Stiffness.
3. Functional impairment.
4. Stretching of joint capsule or ligament.
5. Intraotious hypertension.
6. Bursitis.
7. Tendonitis.
 History taking.
 Physical examination.
 No specific lab examinations.
 X- Ray.
 Analysis of synovial fluid to differentiate osteo &
rheumatoid arthritis.
 Radio nucleate imaging (Bone Scan).
 No specific medical management.
 Preventive measures:
1. Weight reduction.
2. Prevention of injury.
3. Prenatal screening.
4. Ergonomic modification.
 Conservative management:
1. Use of heat.
2. Weight reduction.
3. Rest to the joint .
4. Avoidance of joint overuse.
5. Orthotic devices.
6. Isometric & postural exercises.
7. Occupational & physical therapy.
 Pharmacologic treatment:
1. Acetaminophen (PCM)
2. Intramuscular injection of corticosteroids.
 Surgical management:
1. Osteotomy
2. Debridement.
3. arthroscopy
4. Arthroplasty.
5. Joint fusion.
In this class we discussed the:-
 Definition of osteoarthritis
 Etiology of osteoarthritis
 Pathophysiology of osteoarthritis
 Diagnostic evaluation of osteoarthritis
 Clinical manifestations of osteoarthritis
 Management of osteoarthritis
Lippincott “Medical surgical nursing” 10th
edition
Joyce M Black ” Medical surgical nursing”
Brunner And Suddharth “Medical surgical
nursing”
Thank you!!!

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Osteo arthritis

  • 1.
  • 2. At the end of the class the students will be able to:-  Define osteoarthritis  Enumerate the etiology  Explain the pathophysiology  List out the diagnostic evaluation  Explain the clinical manifestations  Describe the management
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.  It is a non inflammatory disorder of the movable joints characterized by deterioration of articular cartilage & formation of new bone at joint surface & margins.
  • 8. 1. Obesity 2. Genetic & hereditary. 3. Occupation – mainly cotton mills. 4. Multiple endocrine disorders – DM, Acromegaly. 5. Old age. 6. Previous joint damage.
  • 9. Due to any etiological factor  Change in the articular cartilage.  Soft tissue changes may occur.  Progressive wear & tear of the cartilage.  Thinning of joint surface & ulceration in the bone.
  • 10.  Inflammation of joint & increased blood flow & hypertrophy of subchondrial bone.  Leads to new cartilage & bone formation at the joint margin.  Osteophytosis  Altering in shape & size of the bone.
  • 11. 1. Pain. 2. Stiffness. 3. Functional impairment. 4. Stretching of joint capsule or ligament. 5. Intraotious hypertension. 6. Bursitis. 7. Tendonitis.
  • 12.  History taking.  Physical examination.  No specific lab examinations.  X- Ray.  Analysis of synovial fluid to differentiate osteo & rheumatoid arthritis.  Radio nucleate imaging (Bone Scan).
  • 13.  No specific medical management.  Preventive measures: 1. Weight reduction. 2. Prevention of injury. 3. Prenatal screening. 4. Ergonomic modification.
  • 14.  Conservative management: 1. Use of heat. 2. Weight reduction. 3. Rest to the joint . 4. Avoidance of joint overuse. 5. Orthotic devices. 6. Isometric & postural exercises. 7. Occupational & physical therapy.
  • 15.  Pharmacologic treatment: 1. Acetaminophen (PCM) 2. Intramuscular injection of corticosteroids.  Surgical management: 1. Osteotomy 2. Debridement. 3. arthroscopy
  • 17. In this class we discussed the:-  Definition of osteoarthritis  Etiology of osteoarthritis  Pathophysiology of osteoarthritis  Diagnostic evaluation of osteoarthritis  Clinical manifestations of osteoarthritis  Management of osteoarthritis
  • 18. Lippincott “Medical surgical nursing” 10th edition Joyce M Black ” Medical surgical nursing” Brunner And Suddharth “Medical surgical nursing”