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→Osteoarthritis
=Osteoarthritis=
=Osteoarthritis=
*H&P: Older patients; polyarticular arthritis in the DIP, PIP, 1st CMC, elbow, hip, knee, and back; Morning stiffness lasts < 30 min, but pain worsens with activity as the day progresses.
*H&P: Older patients; polyarticular arthritis in the DIP (Heberden), PIP (Bouchard), 1st CMC, elbow, hip, knee, and back; Morning stiffness lasts < 30 min, but pain worsens with activity as the day progresses.
*Dx: Xrays and clinical findings asymmetric joint sclerosis, narrowing, periarticular bone spurs; inflammatory lab markers are normal; joint aspiration has PMNs < 2000;
*Dx: Xrays and clinical findings asymmetric joint sclerosis, narrowing, periarticular bone spurs; inflammatory lab markers are normal; joint aspiration has WBCs < 2000
*Tx: Exercise, PT, weight loss; NSAIDs, APAP; Glucocorticoid injections; Joint replacement.
*Tx: Exercise, PT, weight loss; NSAIDs, APAP; Glucocorticoid injections; Joint replacement.