Janice’s painful knee

demography
1. Janice
2. 55 years old
3. she has osteoarthritis
Anatomy of the knee
1. Ligaments
2. Nerve supply
3. Blood supply
4. Radiological Anatomy of The Knee Joint
Normal structure of cartilage
1. is a connective tissue
2. types
  1. Hyaline Cartilage
    1. Found in: bronchial tubes, costal cartilages, larynx, nose, trachea.
  2. Fibrocartilage
    1. Found in: Calli , Intevertebral discs ,Menisci ,Pubic symphysis.
  3. Elastic Cartilage
    1. Found in: Auditory (Eustachian) Tubes; External Ear (Auricle); Epiglottis
Types of arthritis
1. Osteoarthritis
  1. primary (idiopathic)
  2. secondary (caused by previous injury)
2. inflammatory arthiritis
  1. Rheumatoid arthritis
  2. Psoriatic arthritis
  3. crystal-induced arthritis
    1. Gout
    2. Pseudogout
3. Infectious Arthritis
  1. Septic Arthritis
4. Seronegative Spondyloarthopathy
  1. Juvenile Idiopathic Arthritis
    1. Systemic arthritis
    2. Polyarticular Arthritis
    3. Pauciarticular Arthritis
  2. Ritter Syndrome
Osteoarthritis
1. Pathophysiology
2. Signs & symptoms
  1. Pain
  2. Tenderness
  3. Stiffness
  4. Loss of flexibility
3. Risk factors
  1. Older age
  2. gender
  3. Obesity
  4. Joint injuries
4. Investigations
  1. Perform a physical examination
  2. Order diagnostic tests
  3. Personal and family medical history
5. Radiological features
6. Treatment
  1. -Weight loss Physical -therapy and exercise
  2. Pharmacological treatment
    1. NSAIDs
    2. acetaminophen
    3. Opioids
    4. Glucosamine
  3. Knee Replacement Surgery
7. Epidemiology
  1. Among adults 60 years of age or older the prevalence of knee OA is approximately 10% in men and 13% in women
Examination of the knee joint
Rules of consent in UAE
1. Based on HAAD guidelines for patient consent of 2016
  1. Consent
    1. Should be taken before any treatment
      1. except for the ER and saving life cases
  2. Consent taker
    1. All physician
  3. ConsentGiver
    1. The patient himself
    2. substitute consent giver
      1. is needed when
        the patient is less than 18
        when the patient is deemed incompetent
        and when it's something related to fertilization the husband consent in needed

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Janice’s painful knee

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	Created by nonocaty 1 over 7 years ago